| NPI | 1912414186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY STAYNER President 406-728-6101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-09-19 |