Organization
AXIS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GILLESPIE PT (OWNER)
(406) 542-3333
Entity
Organization
Contact information
Practice address
301 E BROADWAY ST, MISSOULA, MT 59802-4617
(406) 542-3333
(844) 601-9027
Mailing address
301 E BROADWAY ST, MISSOULA, MT 59802-4617
(406) 542-3333
(844) 601-9027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1517PT
MT
225100000X
Physical Therapist
1585PT
MT
225100000X
Physical Therapist
Primary
1679PT
MT
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000061378
BLUE CROSS OF MONTANA
MT
Enumeration date
12/28/2006
Last updated
03/05/2026
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