Provider Demographics
NPI:1609927649
Name:PARSONS, DON J (PT)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:J
Last Name:PARSONS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 TRAPPER MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:MT
Mailing Address - Zip Code:59829-8628
Mailing Address - Country:US
Mailing Address - Phone:406-821-4135
Mailing Address - Fax:406-821-0046
Practice Address - Street 1:265 TRAPPER MEADOW RD
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:MT
Practice Address - Zip Code:59829-8628
Practice Address - Country:US
Practice Address - Phone:406-821-4135
Practice Address - Fax:406-821-0046
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00000648225100000X
MT1303PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7082001Medicaid