| NPI | 1053798736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE TERRY Physical Therapist 406-531-3019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT PTP-PT-LIC-2353) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2024-02-27 |