Organization
TRAILHEAD HEALTH & REHAB LLC
Active
Other names
Trailhead Physical Therapy & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BLAINE STIMAC (MANAGING MEMBER)
(406) 756-1128
Entity
Organization
Contact information
Practice address
1838 W PARKSIDE LN STE 110, PHOENIX, AZ 85027-1370
(970) 712-2938
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 300-1612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/19/2023
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