Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 652 | MT |
N | 225XE1200X | Ergonomics | 652 | MT |
Y | 2251S0007X | Physical Therapist - Sports | 652 | MT |
N | 2251X0800X | Physical Therapist - Orthopedic | 652 | MT |
NPI | 1003211418 |
---|---|
Provider Name | Rhonda Wakai |
First Address | Missoula, MT 59808-8660 |
Second Address | Missoula, MT 59801-8332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2014 |
Last Update Date | 28/10/2014 |