| NPI | 1578589131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CARNINE Owner 406-531-5918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009405) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00017601) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-12-30 |