NPI | 1932850021 |
---|---|
Entity Type | Organization |
Authorized Contact | MADISON MARIE LEININGER Physical Therapist 406-214-4098 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2022-01-11 |
Last Update Date | 2025-09-05 |