NPI | 1568079523 |
---|---|
Doing Business As | TRAILHEAD PHYSICAL THERAPY & SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | BLAINE STIMAC Managing Member 406-756-1128 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-09-24 |
Last Update Date | 2023-09-19 |