Provider Demographics
NPI:1578650198
Name:REHDER, CAROLINE M (PT)
Entity type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:M
Last Name:REHDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:CAROLINE
Other - Middle Name:M
Other - Last Name:KNEBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:403 SOUTH 8TH ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047
Mailing Address - Country:US
Mailing Address - Phone:406-222-7886
Mailing Address - Fax:406-222-7886
Practice Address - Street 1:403 S 8TH ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-3302
Practice Address - Country:US
Practice Address - Phone:406-222-7886
Practice Address - Fax:406-222-7886
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1719225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist