Organization
VITALIMD, PC
Active
Organization
VITALIMD, PC
Active
Other names
The Joy and Healing Practice, PC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE TODD (OWNER)
(406) 595-0852
Entity
Organization
Contact information
Practice address
117 EAST OAK STREET, BOZEMAN, MT 59715
(406) 595-0852
Mailing address
117 EAST OAK STREET, BOZEMAN, MT 59715
(406) 595-0852
(406) 571-7955
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11366
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8460164
—
MT
Enumeration date
09/07/2017
Last updated
07/03/2018
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