Healthcare Provider Details

I. General information

NPI: 1710808456
Provider Name (Legal Business Name): CLEARWATER HEALTH AND REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 E MAIN ST UNIT DO2-4
BOZEMAN MT
59715-4752
US

IV. Provider business mailing address

PO BOX 5718
KALISPELL MT
59903-5718
US

V. Phone/Fax

Practice location:
  • Phone: 406-585-3701
  • Fax: 406-586-9708
Mailing address:
  • Phone: 406-756-0134
  • Fax: 406-309-2579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: BLAINE STIMAC
Title or Position: MANAGING MEMBER
Credential: MSPT
Phone: 406-756-1128