MEDICARE: STRONG PHYSIO PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1629507503	OTHER		NPPES

General Provider Information

NPI Number	:	1871264879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRONG PHYSIO PLLC

Provider Business Mailing Address
First Line	:	106 TYLER WAY
Second Line	:
City	:	LOLO
State	:	MT
Zip	:	59847-9714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 TYLER WAY
Second Line	:
City	:	LOLO
State	:	MT
Zip	:	59847-9714
Country	:	US
Telephone Number	:	406-273-3730
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	MADELINE MAY
Credential	:
Telephone Number	:	406-273-3730

Provider Enumeration Date	:	09/21/2021
Last Update Date	:	09/21/2021

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Directions to “STRONG PHYSIO PLLC ” Practice Location

Language	Start Address	Practice Location

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