| NPI | 1790863942 |
|---|---|
| Doing Business As | GREAT NORTHERN PHYSICAL THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | SETH D HALVERSON Owner 406-586-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 1187) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-07-12 |