| NPI | 1861153280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WATHAN President 406-890-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2023-01-02 |