Healthcare Provider Details

I. General information

NPI: 1548431372
Provider Name (Legal Business Name): FLATHEAD PHYSICAL THERAPY, INC. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 03/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8299 MT HIGHWAY 35
BIGFORK MT
59911-3583
US

IV. Provider business mailing address

8299 MT HIGHWAY 35
BIGFORK MT
59911-3583
US

V. Phone/Fax

Practice location:
  • Phone: 406-837-5499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number401
License Number StateMT

VIII. Authorized Official

Name: SHARI LYNN WORKS
Title or Position: PRESIDENT
Credential:
Phone: 406-837-5499