| NPI | 1992822084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN RODGERS Owner 406-587-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 738) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 738) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2016-01-21 |