| NPI | 1396165304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC G SHELKEY Owner/Sole Proprietor 406-586-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT PT486) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |