Organization
BUILD PHYSIO & PERFORMANCE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA OPSTEDAL PT, DPT (OWNER/PHYSICAL THERAPIST)
(406) 580-0803
Entity
Organization
Contact information
Practice address
609 PRONGHORN TRAIL, BOZEMAN, MT 59718
(406) 580-0803
(406) 258-0580
Mailing address
609 PRONGHORN TRL STE C, BOZEMAN, MT 59718-7090
(406) 580-0803
(406) 258-0580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
09/19/2018
Last updated
11/10/2020
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