| NPI | 1487262549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A GAERTIG Owner/Manager 406-251-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-09-28 |