Cindy Mary Marshall, PT
Individual provider Active NPI Physical Therapist · Coram, MT
NPI 1053518258 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053518258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 377 (MT)
- Practice address
- 205 Wagner Rd
Coram, MT 59913 - Phone
- (406) 261-2447
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 377 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Montana | Past | Accepting new patients | |
| Cindy Marshall PT PLLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 377 | MT | Yes |
Addresses
Primary practice location
205 Wagner Rd
Coram, MT 59913
Mailing address
PO Box 130043
Coram, MT 59913
Phone (406) 261-2447
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0341952 | Medicaid | MT |
Other providers in Coram, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.