Organization
POWELL COUNTY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH P. MCGILLIS P.T. (OWNER)
(406) 846-1991
Entity
Organization
Contact information
Practice address
1101 MARYLAND AVE, DEER LODGE, MT 59722-1806
(406) 846-1991
(406) 846-1347
Mailing address
1101 MARYLAND AVE, DEER LODGE, MT 59722-1806
(406) 846-1991
(406) 846-1347
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073143
MT STATE FUND PROV. #
MT
05
—
0343720
—
MT
01
—
MSF 1179681
MT STATE FUND GRP. #
MT
Enumeration date
11/08/2006
Last updated
01/07/2008
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