| NPI | 1710239207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D ALLIES Owner 406-477-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 1646) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2013-06-24 |