| NPI | 1700286572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEA HANDLEY CEO 406-360-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MT 1209) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2021-12-02 |