Organization
LITTLE LIGHTHOUSE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAD R JAMES P.T. (PHYSICAL THERAPIST/ OWNER)
(406) 219-3477
Entity
Organization
Contact information
Practice address
420 N 9TH AVE, BOZEMAN, MT 59715-3330
(406) 219-3477
Mailing address
420 N 9TH AVE, BOZEMAN, MT 59715-3330
(406) 219-3477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2032
MT
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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