| NPI | 1558063008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE WEIJOHN Office Manager 406-273-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-01-23 |