| NPI | 1891168001 |
|---|---|
| Doing Business As | PRIME PERFORMANCE AND PHYSIO |
| Entity Type | Organization |
| Authorized Contact | BILLY J. MCCLENAHAN Owner 406-599-9518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-9412) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2022-09-08 |