| NPI | 1659084416 |
|---|---|
| Doing Business As | REVIVE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS HENSEN Physical Therapist And Owner 406-249-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2024-05-29 |