| NPI | 1922109628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J. HEUISER Owner/President 406-449-0654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-05-31 |