# MONTANA PLAINS REHABILITATION PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679550107
- **Authorized official:** MR. BILL JOHN TACKE MD (PRESIDENT)
- **Authorized official phone:** (406) 455-2140

## Contact information

- **Practice address:** 500 15TH AVE S, SUITE ONE, GREAT FALLS, MT 59405-4304
- **Practice address phone:** (406) 455-2149
- **Practice address fax:** (406) 455-2141
- **Mailing address:** 500 15TH AVE S, SUITE ONE, GREAT FALLS, MT 59405-4304
- **Mailing address phone:** (406) 455-2140
- **Mailing address fax:** (406) 455-2141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 09/13/2013