Healthcare Provider Details

I. General information

NPI: 1841322310
Provider Name (Legal Business Name): YELLOWSTONE PHYSICAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2007
Last Update Date: 11/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 US HWY 10 W UNIT E
LIVINGSTON MT
59047
US

IV. Provider business mailing address

1201 US HWY 10 W UNIT E
LIVINGSTON MT
59047
US

V. Phone/Fax

Practice location:
  • Phone: 406-222-5519
  • Fax: 406-222-0366
Mailing address:
  • Phone: 406-222-5519
  • Fax: 406-222-0366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number198
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHLEEN JOANN SCHRETENTHALER
Title or Position: BUSINESS OWNER, CORPORATE PRESIDENT
Credential: PT, CSCS
Phone: 406-222-5519