Organization
ADVANCED PERFORMANCE & REHABILITATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM KELLY (OFFICE MANAGER)
(406) 587-4501
Entity
Organization
Contact information
Practice address
1532 ELLIS STREET, STE 201, BOZEMAN, MT 59715
(406) 587-4501
(406) 587-3919
Mailing address
1532 ELLIS ST STE 201, BOZEMAN, MT 59715-8809
(406) 587-4501
(406) 587-3919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG1358
RAILROAD MEDICARE
MT
Enumeration date
07/15/2006
Last updated
12/26/2024
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