Organization
THREE FORKS PHYSICAL THERAPY, INC.
Active
Organization
THREE FORKS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE COLLEEN HECOCK P.T. (PRESIDENT)
(406) 285-0626
Entity
Organization
Contact information
Practice address
203 S MAIN ST., THREE FORKS, MT 59752
(406) 285-0626
(406) 285-3500
Mailing address
PO BOX 1180, THREE FORKS, MT 59752-1180
(406) 285-0626
(406) 285-3500
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1278
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000061916
BLUE CROSS BLUE SHIELD
MT
05
—
0345032
—
MT
Enumeration date
02/22/2007
Last updated
11/07/2023
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