Organization
BIGFORK PHYSICAL THERAPY & SPORTS REHABILITATION INC
Active
Organization
BIGFORK PHYSICAL THERAPY & SPORTS REHABILITATION INC
Active
Other names
Michael J. Close, RPT
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JON CLOSE PHYSICAL THERAPIST (OWNER PHYSICAL THERAPIST)
(406) 837-6892
Entity
Organization
Contact information
Practice address
6400 MT HWY 35, BIGFORK, MT 59911
(406) 837-6892
(406) 837-6435
Mailing address
PO BOX 1527, BIGFORK, MT 59911-1527
(406) 837-6892
(406) 837-6435
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1350PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000345185
—
MT
01
—
61996
BLUE CROSS BLUE SHIELD
MT
Enumeration date
07/05/2005
Last updated
10/30/2007
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