NPI | 1124180468 |
---|---|
Doing Business As | SPINE & SPORTS THERAPY |
Entity Type | Organization |
Authorized Contact | ALFRED GUY EDWARDS Director 406-771-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 1660PT) |
Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 1660PT) | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2024-11-08 |