| NPI | 1104519156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER NICOLE SALO Owner 406-491-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-08-10 |