NPI | 1922109628 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN J. HEUISER Owner/President 406-449-0654 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-09-26 |
Last Update Date | 2025-01-28 |