Organization
GRANITE SPORTS MEDICINE
Active
Organization
GRANITE SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY K COOK MSPT (OWNER/STAFF PHYSICAL THERAPIST)
(406) 223-2763
Entity
Organization
Contact information
Practice address
1014 W PARK ST STE 4, LIVINGSTON, MT 59047-2541
(406) 223-2763
Mailing address
1014 W PARK ST STE 4, LIVINGSTON, MT 59047-2541
(406) 223-2763
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1794
MT
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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