| NPI | 1194296897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEZIA PETERSON Occupational Therapist/Owner 406-219-5388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208600000X Surgery |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2026-10-07 |