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NPI Code Detail

MEDICARE: MS. SHELLEE JO AGER P.T.

MEDICARE: MS. SHELLEE JO AGER P.T.
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 Therapist1442MT

General Provider Information

NPI Number : 1710044466
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHELLEE JO AGER P.T.
Provider Business Mailing Address
First Line : 3940 RIMROCK RD
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0141
Country : US
Telephone Number : 406-655-5672
Fax Number : 406-655-5639
Provider Business Practice Location Address
First Line : 3940 RIMROCK RD
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0141
Country : US
Telephone Number : 406-655-5672
Fax Number : 406-655-5639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 07/08/2007

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