Individual
GRANT DAMON POOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
15 6TH ST S, FAIRFIELD, MT 59436
(406) 467-3800
(406) 467-3828
Mailing address
PO BOX 457, FAIRFIELD, MT 59436
(406) 467-3800
(406) 467-3828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1258 PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340187
—
MT
01
—
60396
BC/BS OF MT
MT
Enumeration date
07/13/2006
Last updated
11/14/2025
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