| NPI | 1831370378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYE K LEDUC President 406-756-7634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: MT 1014) |
| 111NS0005X Chiropractor, Sports Physician | |
| 175F00000X Naturopath | |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2021-04-07 |