Organization
GLACIER PEAKS MOBILE PHYSICAL THERAPY LLC
Active
Other names
Glacier Peaks Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN R BULLOCK DPT (PHYSICAL THERAPIST/OWNER)
(406) 426-1560
Entity
Organization
Contact information
Practice address
535 4TH AVE W, COLUMBIA FALLS, MT 59912-3605
(406) 426-1560
(406) 510-2933
Mailing address
PO BOX 5086, WHITEFISH, MT 59937-5086
(406) 426-1560
(406) 510-2933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/01/2020
Last updated
01/12/2026
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