Provider Demographics
NPI:1689822140
Name:SCRENAR, PATRICK MITCHELL (PT)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:MITCHELL
Last Name:SCRENAR
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 1:8A JACK PINE LOOP
Mailing Address - Street 2:
Mailing Address - City:CLANCY
Mailing Address - State:MT
Mailing Address - Zip Code:59634-9681
Mailing Address - Country:US
Mailing Address - Phone:406-422-0282
Mailing Address - Fax:
Practice Address - Street 1:3180 DREDGE DR
Practice Address - Street 2:SUITE F
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-0561
Practice Address - Country:US
Practice Address - Phone:406-449-0654
Practice Address - Fax:406-449-0516
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2180225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist