Healthcare Provider Details
I. General information
NPI: 1922109628
Provider Name (Legal Business Name): HEUISER PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2006
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3336 N MONTANA AVE
HELENA MT
59602-7816
US
IV. Provider business mailing address
3336 N MONTANA AVE
HELENA MT
59602-7816
US
V. Phone/Fax
- Phone: 406-449-0654
- Fax: 406-449-0516
- Phone: 406-449-0654
- Fax: 406-449-0516
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BRIAN
J.
HEUISER
Title or Position: OWNER/PRESIDENT
Credential: PT
Phone: 406-449-0654