Provider Demographics
NPI:1891859328
Name:DEES, MARY LOU (RPT)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:LOU
Last Name:DEES
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2598 KREMLIN RD S
Mailing Address - Street 2:
Mailing Address - City:KREMLIN
Mailing Address - State:MT
Mailing Address - Zip Code:59532-8735
Mailing Address - Country:US
Mailing Address - Phone:406-372-3140
Mailing Address - Fax:406-372-3140
Practice Address - Street 1:2598 KREMLIN RD S
Practice Address - Street 2:
Practice Address - City:KREMLIN
Practice Address - State:MT
Practice Address - Zip Code:59532-8735
Practice Address - Country:US
Practice Address - Phone:406-372-3140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT120225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist