=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386504512
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BACKCOUNTRY HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/11/2025
-----------------------------------------------------
Last Update Date | 11/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 600 LOLA ST
-----------------------------------------------------
City | HELENA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59601-8600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-465-3188
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 600 LOLA ST
-----------------------------------------------------
City | HELENA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59601-8600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-465-3188
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICAL THERAPIST/OWNER
-----------------------------------------------------
Name | JENNELL LYN DAY
-----------------------------------------------------
Credential | DPT, FAAOMPT, SCS
-----------------------------------------------------
Telephone | 406-465-3188
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2081S0010X
-----------------------------------------------------
Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------