Healthcare Provider Details

I. General information

NPI: 1396803235
Provider Name (Legal Business Name): HORIZON PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20331 EAST MULLAN
CLINTON MT
59825
US

IV. Provider business mailing address

PO BOX 71, 20331 E. MULLAN
CLINTON MT
59825-0071
US

V. Phone/Fax

Practice location:
  • Phone: 406-825-6000
  • Fax: 406-543-1564
Mailing address:
  • Phone: 406-825-6000
  • Fax: 406-543-1564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KRISTI L. MOORE
Title or Position: OWNER
Credential: MSPT
Phone: 406-825-6000