Rejuvenate Llc | |
3027 Highway 83, Seeley Lake, MT 59868-0135 | |
(406) 677-7722 | |
(406) 677-7723 |
Full Name | Rejuvenate Llc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 3027 Highway 83, Seeley Lake, Montana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790889855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1478PT (Montana) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Kimberley T Grover |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629172911 PECOS PAC ID: 9830173160 Enrollment ID: I20040615001024 |
Provider Name | Karen R Wilson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679645683 PECOS PAC ID: 6103811278 Enrollment ID: I20090430000567 |
Provider Name | William E Lemke |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912145376 PECOS PAC ID: 5890842801 Enrollment ID: I20141230002460 |
Provider Name | Linda M Schemm |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841219714 PECOS PAC ID: 1850669938 Enrollment ID: I20170613002821 |
Mailing Address | Practice Location Address |
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Rejuvenate Llc Po Box 135, Seeley Lake, MT 59868-0135 Ph: (406) 677-7722 | Rejuvenate Llc 3027 Highway 83, Seeley Lake, MT 59868-0135 Ph: (406) 677-7722 |