| NPI | 1104908805 |
|---|---|
| Doing Business As | BALANCED PHYSICAL THERAPY & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SHELLEY ANN SULLIVAN Owner/President 406-542-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT 786PT) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-06-19 |