Provider Demographics
NPI:1992931653
Name:HERBST, BRITTNIE ANN (DPT)
Entity type:Individual
Prefix:
First Name:BRITTNIE
Middle Name:ANN
Last Name:HERBST
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 1:1450 ELLIS ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-8813
Mailing Address - Country:US
Mailing Address - Phone:406-587-0122
Mailing Address - Fax:844-656-2480
Practice Address - Street 1:403 GALLATIN FARMERS AVE
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-9142
Practice Address - Country:US
Practice Address - Phone:406-388-7229
Practice Address - Fax:406-388-6883
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2227PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist