| NPI | 1245982685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN BAGLEY Manager 406-587-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |