Organization
PARKSIDE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JORDAN P.T (PROVIDER/OWNER)
(406) 646-7068
Entity
Organization
Contact information
Practice address
235 FIREHOLE AVE, WEST YELLOWSTONE, MT 59758-1573
(406) 646-7068
(406) 646-7069
Mailing address
PO BOX 1573, WEST YELLOWSTONE, MT 59758-1573
(406) 646-7068
(406) 646-7069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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