Provider Demographics
NPI:1427773035
Name:VERHASSELT, DUANE M (MPT)
Entity type:Individual
Prefix:
First Name:DUANE
Middle Name:M
Last Name:VERHASSELT
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 MAXER DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-8202
Mailing Address - Country:US
Mailing Address - Phone:509-429-4810
Mailing Address - Fax:
Practice Address - Street 1:1220 MAXER DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-8202
Practice Address - Country:US
Practice Address - Phone:509-429-4810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT12935225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist