| NPI | 1265247241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT DOUGLAS DENISAR-GREEN Owner/Physical Therapist 406-500-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-09-03 |