| NPI | 1679567770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY E SEEFELDT Staff End User 406-862-9378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 1367PT) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2024-03-29 |