Organization
CLEARWATER THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDEN BORDER (OFFICE ADMIN)
(406) 585-3701
Entity
Organization
Contact information
Practice address
117 E OAK ST STE 1A, BOZEMAN, MT 59715-2977
(406) 585-3701
(406) 586-9708
Mailing address
117 E OAK ST STE 1A, BOZEMAN, MT 59715-2977
(406) 585-3701
(406) 586-9708
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
MT1861
MT
2251X0800X
Orthopedic Physical Therapist
MT2289
MT
2251X0800X
Orthopedic Physical Therapist
MT2360
MT
261QP2000X
Physical Therapy Clinic/Center
1861
MT
Other
Enumeration date
12/10/2009
Last updated
10/13/2023
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