| NPI | 1053140830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH PAUL ROGERS Physical Therapist 406-529-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |