Organization
IMPACT SPORTS PHYSICAL THERAPY PC
Active
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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