Provider Demographics
NPI:1457573800
Name:HANDLOS, JANELLE L (ATC)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:L
Last Name:HANDLOS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 S ATLANTIC ST # 32
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-3511
Mailing Address - Country:US
Mailing Address - Phone:406-683-7391
Mailing Address - Fax:406-683-7219
Practice Address - Street 1:710 S ATLANTIC ST # 32
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-3511
Practice Address - Country:US
Practice Address - Phone:406-683-7391
Practice Address - Fax:406-683-7219
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer