Provider Demographics
NPI:1821547613
Name:HUCEK, BRIANNE (DPT)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:HUCEK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-3416
Mailing Address - Country:US
Mailing Address - Phone:406-222-4682
Mailing Address - Fax:
Practice Address - Street 1:403 GALLATIN FARMERS AVE
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-9142
Practice Address - Country:US
Practice Address - Phone:406-388-7229
Practice Address - Fax:406-388-6883
Is Sole Proprietor?:No
Enumeration Date:2016-09-22
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070022601225100000X
MT12884225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist