Organization
TIM CORDIAL PT PC
Active
Other names
Cordial Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J CORDIAL PT (OWNER/PHYSICAL THERAPIST)
(406) 721-8858
Entity
Organization
Contact information
Practice address
701 W SPRUCE ST, MISSOULA, MT 59802-3904
(406) 721-8858
(406) 542-0960
Mailing address
701 W SPRUCE ST, MISSOULA, MT 59802-3904
(406) 721-8858
(406) 542-0960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
257
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000344097
—
MT
01
—
000060776
BLUE CROSS
MT
01
—
000061750
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/05/2007
Last updated
06/13/2024
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