Organization
NPH PLLC
Active
Other names
Revive Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS HENSEN DPT (PHYSICAL THERAPIST AND OWNER)
(406) 249-7765
Entity
Organization
Contact information
Practice address
2450 US HIGHWAY 93 S, KALISPELL, MT 59901-7532
(406) 407-4210
(406) 890-6674
Mailing address
215 TRIPLE CREEK DR, KALISPELL, MT 59901-1473
(406) 249-7765
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
05/29/2024
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