Healthcare Provider Details

I. General information

NPI: 1659084416
Provider Name (Legal Business Name): NPH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2022
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 US HIGHWAY 93 S
KALISPELL MT
59901-7532
US

IV. Provider business mailing address

215 TRIPLE CREEK DR
KALISPELL MT
59901-1473
US

V. Phone/Fax

Practice location:
  • Phone: 406-407-4210
  • Fax: 406-890-6674
Mailing address:
  • Phone: 406-249-7765
  • Fax:

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: DR. NICHOLAS HENSEN
Title or Position: PHYSICAL THERAPIST AND OWNER
Credential: DPT
Phone: 406-249-7765