| NPI | 1508278581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK GULICK Owner 406-407-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 7504) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2025-09-04 |