NPI | 1508084641 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY JOHN GIBBS Owner And President 406-752-7250 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2007-04-23 |
Last Update Date | 2016-06-01 |