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NPI Code Detail

MEDICARE: GAGE DENNIS GROSSMAN MSPT

MEDICARE: GAGE DENNIS GROSSMAN MSPT
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 Therapist2058NV
2225100000XPhysical Therapist5471OR
3225100000XPhysical Therapist4328MT

General Provider Information

NPI Number : 1720176951
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAGE DENNIS GROSSMAN MSPT
Provider Business Mailing Address
First Line : 1501 SAINT CHARLES ST
Second Line :
City : FORT BENTON
State : MT
Zip : 59442-7710
Country : US
Telephone Number : 406-622-6111
Fax Number : 406-622-5670
Provider Business Practice Location Address
First Line : 1501 SAINT CHARLES ST
Second Line :
City : FORT BENTON
State : MT
Zip : 59442-7710
Country : US
Telephone Number : 406-622-6111
Fax Number : 406-622-5670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 11/16/2025

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Directions to “ GAGE DENNIS GROSSMAN MSPT” Practice Location

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