Organization
BITTERROOT PHYSICAL THERAPY LLC
Active
Other names
Willow Creek Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DREW HULS (MEMBER / REGISTERED AGENT / OWNER)
(406) 961-3841
Entity
Organization
Contact information
Practice address
1016 BROOKS AVE, CORVALLIS, MT 59828-9340
(406) 961-3841
(406) 961-6814
Mailing address
PO BOX 630, CORVALLIS, MT 59828-0630
(406) 961-3841
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/19/2022
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