Organization
ELEMENT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA DIANE CRAGO PT (OWNER)
(406) 543-7860
Entity
Organization
Contact information
Practice address
2455 DIXON AVE, STE A, MISSOULA, MT 59801-8219
(406) 543-7860
(406) 543-7862
Mailing address
2455 DIXON AVE, STE A, MISSOULA, MT 59801-8219
(406) 543-7860
(406) 543-7862
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1300PT
MT
Other
Enumeration date
06/22/2007
Last updated
06/17/2008
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