MEDICARE: PHYSICAL THERAPY DOWN UNDER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000083351	OTHER	MT	MEDICARE PTAN

General Provider Information

NPI Number	:	1144226986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY DOWN UNDER INC

Provider Business Mailing Address
First Line	:	820 2ND ST W
Second Line	:
City	:	HAVRE
State	:	MT
Zip	:	59501-3476
Country	:	US
Telephone Number	:	406-265-4805
Fax Number	:	406-265-4834

Provider Business Practice Location Address
First Line	:	820 2ND ST W
Second Line	:
City	:	HAVRE
State	:	MT
Zip	:	59501-3476
Country	:	US
Telephone Number	:	406-265-4805
Fax Number	:	406-265-4834

Authorized Official
Title or Position	:	OWNER BILLING MANAGER
Name	:	MRS. KRISTI LEIGH PARROTTE
Credential	:
Telephone Number	:	406-265-4805

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	12/09/2023

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Directions to “PHYSICAL THERAPY DOWN UNDER INC ” Practice Location

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