Healthcare Provider Details

I. General information

NPI: 1316967250
Provider Name (Legal Business Name): REHABILITY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W MAIN ST STE B
BELGRADE MT
59714-3847
US

IV. Provider business mailing address

403 W MAIN ST STE B
BELGRADE MT
59714-3847
US

V. Phone/Fax

Practice location:
  • Phone: 406-388-4902
  • Fax: 406-388-6026
Mailing address:
  • Phone: 406-388-4902
  • Fax: 406-388-6026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberD144845
License Number StateMT

VIII. Authorized Official

Name: DENISE ANDERSON
Title or Position: VICE PRESIDENT
Credential:
Phone: 406-539-0135