Organization
LONE PEAK PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEY KABISCH (CFO)
(406) 223-0478
Entity
Organization
Contact information
Practice address
630 BOARDWALK AVE STE 1, BOZEMAN, MT 59718-4118
(406) 548-6266
(406) 548-6269
Mailing address
630 BOARDWALK AVE STE 1, BOZEMAN, MT 59718-4118
(406) 548-6266
(406) 548-6269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTPPTLIC1729
MT
225X00000X
Occupational Therapist
Primary
OTPOTLIC997
MT
Other
Enumeration date
10/29/2013
Last updated
03/20/2019
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