Organization
PERFORMANCE PHYSICAL THERAPY, PC
Active
Other names
Premier Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SHANE SPEARS PT (OWNER)
(406) 543-1546
Entity
Organization
Contact information
Practice address
124 OAK ST, ANACONDA, MT 59711-2335
(406) 846-7770
(406) 846-7771
Mailing address
825 SAGEBRUSH LN STE 1, DEER LODGE, MT 59722-2320
(406) 846-7771
(406) 846-7771
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
08/16/2019
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