| NPI | 1073720363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY REESE PRICE Executive Manager 406-752-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |