Organization
MISSOULA PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH G SMITH (OWNER)
(406) 543-4890
Entity
Organization
Contact information
Practice address
1805 BANCROFT ST, MISSOULA, MT 59801-5781
(406) 543-4890
(406) 543-4892
Mailing address
1805 BANCROFT ST, MISSOULA, MT 59801-5781
(406) 543-4890
(406) 543-4892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
218PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992849525
—
MT
Enumeration date
02/16/2007
Last updated
12/21/2007
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