| NPI | 1326064916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM KELLY Office Manager 406-587-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-12-26 |