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General NPI Number Information
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NPI Number | 1073720363
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Entity Type | Organization
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Legal Business Name | FLATHEAD HEALTH AND FITNESS LLC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 1ST AVE WEST
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 406-752-2438
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Fax | 406-752-2367
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Provider Business Mailing Address
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Address Line | 300 1ST AVE WEST
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 406-752-2438
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Fax | 406-752-2367
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Authorized Official
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Title or Position | EXECUTIVE MANAGER
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Name | MR. TIMOTHY REESE PRICE
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Credential | P.T.
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Telephone | 406-752-2438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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