| NPI | 1558514950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M STENSON Physical Therapist 406-782-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MT 1671) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2017-03-07 |