| NPI | 1487687091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER R COULTER Owner 406-721-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-12-26 |