Bohannon, Robert Kelly

Bohannon, Robert Kelly is an individual health care provider with primary practice located at 500 15Th Ave S , Great Falls MT 59405-4324. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bohannon, Robert Kelly can be contacted via phone (406) 455-2200.

Contact Information

Primary practice address
500 15Th Ave S Great Falls MT 59405-4324
Phone: (406) 455-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTP-PTA-LIC-9399 Montana

Profile Details

NPI number 1952808677
LBN Legal business name Bohannon, Robert Kelly
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2018
Last updated Apr 9th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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