| NPI | 1902572472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A PETERSON Physical Therapist / Owner 406-293-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-10-13 |