Provider Demographics
NPI:1215550579
Name:REIJGERS, JONATHAN EARL (DPT, PT)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:EARL
Last Name:REIJGERS
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 NORTH MONTANA AVE
Mailing Address - Street 2:TOP FLOOR
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-0000
Mailing Address - Country:US
Mailing Address - Phone:406-449-3060
Mailing Address - Fax:406-449-3088
Practice Address - Street 1:1200 NORTH MONTANA AVE
Practice Address - Street 2:TOP FLOOR
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601
Practice Address - Country:US
Practice Address - Phone:406-449-3060
Practice Address - Fax:406-449-3088
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-TMP-19202225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist