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NPI Code Detail

MEDICARE: DR. SETH LOSOS DPT, ATC

MEDICARE: DR. SETH LOSOS DPT, ATC
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 Therapist2529ND
2225100000XPhysical Therapist12946MN
32255A2300XAthletic Trainer
4225100000XPhysical TherapistPTP-PT-COM-JP-27111MT

General Provider Information

NPI Number : 1720553597
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SETH LOSOS DPT, ATC
Provider Business Mailing Address
First Line : 202 SAWYER LN APT F
Second Line :
City : KALISPELL
State : MT
Zip : 59901-9096
Country : US
Telephone Number : 701-425-5151
Fax Number :
Provider Business Practice Location Address
First Line : 850 HOLT DR
Second Line :
City : BIGFORK
State : MT
Zip : 59911-6218
Country : US
Telephone Number : 406-837-3255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2018
Last Update Date : 09/25/2023

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