Kim L. Kynast, PT

Individual provider Active NPI Physical Therapist · Absarokee, MT

NPI 1922334192 · NPPES record last updated Nov 2, 2009

Key facts

NPI
1922334192
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1025 (MT)
Practice address
52 Star Haven Dr
Absarokee, MT 59001-6244
Phone
(406) 328-4761
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1025MTMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1025 MT Yes

Addresses

Primary practice location

52 Star Haven Dr
Absarokee, MT 59001-6244

Mailing address

52 Star Haven Dr
Absarokee, MT 59001-6244
Phone (406) 328-4761

Other providers in Absarokee, MT

All providers in Absarokee, MT · Physical Therapist in Montana

Sources for this page

Verify at the official NPI Registry.