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Organization

IMPACT SPORTS PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH ERIC CHRISTIANSEN PT, ATC, MTC (OWNER)
(303) 902-5456
Entity
Organization

Contact information

Practice address
432 E IDAHO ST, STE. 431, KALISPELL, MT 59901-4137
(303) 902-5456
Mailing address
432 E IDAHO ST, STE. 431, KALISPELL, MT 59901-4137

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
04/02/2015
Last updated
04/02/2015
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