Provider Demographics
NPI:1861671836
Name:COUTTS, MARGARET ANN (DPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:COUTTS
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:PO BOX 5718
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59903-5718
Mailing Address - Country:US
Mailing Address - Phone:855-456-7146
Mailing Address - Fax:406-309-2579
Practice Address - Street 1:306 STONER LOOP
Practice Address - Street 2:SUITE 3
Practice Address - City:LAKESIDE
Practice Address - State:MT
Practice Address - Zip Code:59922-8600
Practice Address - Country:US
Practice Address - Phone:406-844-0744
Practice Address - Fax:406-844-0759
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2017-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1825225100000X
MT11168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR113835Medicare PIN
MT11168OtherMT PT LICENSE