| NPI | 1013142041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JO SMITH Physical Therapist/Business Manager 406-209-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2137) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2012-12-29 |