| NPI | 1962532846 |
|---|---|
| Former Legal Business Name | NASH SPINE & JOINT REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | SHERRI E GOMES Vice President/Shareholder 406-443-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT MT1068) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MT MT1243) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MT MT1481) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-06-03 |