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NPI Code Detail

MEDICARE: MR. TOBY JAMES DAVIS DPT

MEDICARE: MR. TOBY JAMES DAVIS DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPTP-PT-LIC5998MT

General Provider Information

NPI Number : 1669800223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TOBY JAMES DAVIS DPT
Provider Business Mailing Address
First Line : 17 N MILES AVE
Second Line :
City : HARDIN
State : MT
Zip : 59034-2323
Country : US
Telephone Number : 406-665-2310
Fax Number : 406-665-3106
Provider Business Practice Location Address
First Line : 17 N MILES AVE
Second Line :
City : HARDIN
State : MT
Zip : 59034-2323
Country : US
Telephone Number : 406-665-2310
Fax Number : 406-665-3106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2013
Last Update Date : 10/17/2013

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