Provider Demographics
NPI:1568542124
Name:TURECK, ANASTASIA MARIE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:ANASTASIA
Middle Name:MARIE
Last Name:TURECK
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:MARIE
Other - Last Name:TURECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:2525 COLONIAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4902
Mailing Address - Country:US
Mailing Address - Phone:406-449-4279
Mailing Address - Fax:406-449-8043
Practice Address - Street 1:2525 COLONIAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4902
Practice Address - Country:US
Practice Address - Phone:406-449-4279
Practice Address - Fax:406-449-8043
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0345236Medicaid
162509OtherWAWC
841391220007OtherEBMS
MSF1133504OtherMONTANA STATE FUND