Organization
CENTER FOR PHYSICAL THERAPY & WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY ANN SULLIVAN PT (PRESIDENT/PT)
(406) 782-5887
Entity
Organization
Contact information
Practice address
1309 HARRISON AVE, BUTTE, MT 59701-4801
(406) 782-5887
(406) 782-8772
Mailing address
1309 HARRISON AVE, BUTTE, MT 59701-4801
(406) 782-5887
(406) 782-8772
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790866259
NPI
MT
Enumeration date
10/18/2006
Last updated
08/03/2009
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