Healthcare Provider Details

I. General information

NPI: 1194939322
Provider Name (Legal Business Name): WEST BILLINGS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3307 GRAND AVE SUITE 203
BILLINGS MT
59102-6546
US

IV. Provider business mailing address

3307 GRAND AVE SUITE 203
BILLINGS MT
59102-6546
US

V. Phone/Fax

Practice location:
  • Phone: 406-655-9060
  • Fax: 406-655-9065
Mailing address:
  • Phone: 406-655-9060
  • Fax: 406-655-9065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JILL FOLLETT
Title or Position: OWNER
Credential: PT
Phone: 406-655-9060