| NPI | 1669680088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN JENSEN Owner 406-727-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 776) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-12-12 |