| NPI | 1871581058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A OLSON Owner 406-542-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2021-01-18 |