| NPI | 1316967250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ANDERSON Vice President 406-539-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT D144845) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-03-21 |