Organization
360 PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KABISCH JR. (CFO/COO)
(406) 522-7488
Entity
Organization
Contact information
Practice address
400 S BROADWAY STE B, MINOT, ND 58701-4403
(406) 522-7488
(406) 522-7487
Mailing address
PO BOX 11629, BOZEMAN, MT 59719-1629
(406) 522-7488
(406) 522-7487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/07/2021
Last updated
11/18/2022
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