| NPI | 1659600203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDEN BORDER Office Admin 406-585-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MT MT1861) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MT MT2360) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MT MT2289) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MT 1861) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2023-10-13 |