| NPI | 1922458207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLENE MARIE WALLACE Certified Facial Reflex Therapist 406-853-0337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |