| NPI | 1912063512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GILLESPIE Owner 406-542-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 1679PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 1517PT) |
| 225100000X Physical Therapist (Licence: MT 1585PT) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |