Organization
NORTHERN ROCKIES PHYSICAL THERAPY, INC.
Active
Organization
NORTHERN ROCKIES PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN JACOBSON (MANAGING PARTNER)
(406) 728-6101
Entity
Organization
Contact information
Practice address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 543-0617
(406) 728-1085
Mailing address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 543-0617
(406) 728-1085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251H1200X
Hand Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/21/2010
Last updated
05/15/2019
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