Organization
ASPIRE FITNESS PHYSICAL THERAPY
Active
Parent organization
FILL-IN INTERIM THERAPY SERVICES, PLLC
Other names
Fitness Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
FILL-IN INTERIM THERAPY SERVICES, PLLC
Authorized official
BRENDA MAHLUM PT (OWNER)
(406) 370-1377
Entity
Organization
Contact information
Practice address
945 WYOMING ST STE 135, MISSOULA, MT 59801-1929
(406) 370-1377
(800) 886-0200
Mailing address
945 WYOMING STREET, SUITE 135, MISSOULA, MT 59801
(406) 544-6090
(800) 886-0200
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
432
MT
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164591046
BRENDA NPI
—
01
—
1316355217
KRISTEN NPI
—
01
—
1558737551
NPI
—
01
—
1578606596
RACHEL NPI
—
05
—
M0110682
—
MT
Enumeration date
08/26/2016
Last updated
01/10/2022
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