| NPI | 1093322547 |
|---|---|
| Doing Business As | MOMENTUM PHYSICAL THERAPY OF PUEBLO |
| Entity Type | Organization |
| Authorized Contact | BLAINE STIMAC Managing Member 406-756-1128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |