| NPI | 1558064220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER REESE CORWIN Manager/Physical Therapist 406-253-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-06-28 |