Organization
AIM PEDIATRIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA K SODEMANN PT, DPT (OWNER)
(701) 330-7417
Entity
Organization
Contact information
Practice address
51 STEPHANIE LN, BOZEMAN, MT 59718-8528
(701) 330-7417
Mailing address
51 STEPHANIE LN, BOZEMAN, MT 59718-8528
(701) 330-7417
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4513
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12775121
CAQH
NM
05
—
27427277
—
NM
Enumeration date
12/11/2017
Last updated
02/19/2021
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