| NPI | 1023511557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DIRK CAPPIS President 406-727-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT PTP-PT-LIC-805) |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2018-03-11 |