| NPI | 1972189215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE STIMAC Managing Member 406-756-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2025-08-29 |