Provider Demographics
NPI:1053020941
Name:MCNEIL, GARRETT LEE (DPT)
Entity type:Individual
Prefix:MR
First Name:GARRETT
Middle Name:LEE
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2593 HIGHWAY 2 EAST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901
Mailing Address - Country:US
Mailing Address - Phone:406-257-0933
Mailing Address - Fax:406-257-8342
Practice Address - Street 1:2593 HIGHWAY 2 EAST
Practice Address - Street 2:SUITE 6
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-257-0933
Practice Address - Fax:406-257-3426
Is Sole Proprietor?:No
Enumeration Date:2022-11-18
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
225100000X
MT24664225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist