| NPI | 1568946291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA OPSTEDAL Owner/Physical Therapist 406-580-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2020-11-10 |