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Organization

MONTANA MADE SPORTS MEDICINE AND REHAB PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BROOKE NICHOLSON LAT, ATC, DPT (OWNER/ PHYSICAL THERAPIST)
(406) 234-7009
Entity
Organization

Contact information

Practice address
715 S HAYNES AVE, MILES CITY, MT 59301-4772
(406) 399-1878
Mailing address
715 S HAYNES AVE, MILES CITY, MT 59301-4772
(406) 234-7009
(406) 420-7380

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
09/23/2024
Last updated
06/23/2025
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