Provider Demographics
NPI:1962981738
Name:HORN, CLAIRE ELISABETH (DPT)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:ELISABETH
Last Name:HORN
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 1:387 GALLATIN PARK DR STE 201
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-7942
Mailing Address - Country:US
Mailing Address - Phone:406-539-6993
Mailing Address - Fax:
Practice Address - Street 1:387 GALLATIN PARK DR STE 201
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-7942
Practice Address - Country:US
Practice Address - Phone:406-539-6993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-12
Last Update Date:2018-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-LIC-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist