| NPI | 1285289231 |
|---|---|
| Doing Business As | CEO PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DUSTIN B. BUCK Owner 406-459-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |