Individual provider · Type 1 NPI
Kaleb Shane Birney, ATC, LAT, CSS
Specialist · Dillon, MT
NPI number
1144629593
Active
Practice location
710 S Atlantic St
Dillon, MT 59725-3511
Mailing address
15 Aurora Lane
Dillon, MT 59725-7354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | AT-LAT-LIC-1102 (MT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1144629593
Kaleb Shane Birney, ATC, LAT, CSS's National Provider Identifier is 1144629593, issued on Aug 21, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dillon, MT. The record was last updated on Aug 21, 2014.