| NPI | 1265065569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C MILLER Physical Therapist/Owner 406-396-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |