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107 Ridgewater Dr. Polson MT 59860 | |
(406) 883-2666 | |
(406) 883-2667 |
Full Name | |
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Speciality | Clinic/center - Physical Therapy |
Location | 107 Ridgewater Dr., Polson, Montana |
Authorized Official Name and Position | Shane H Roberts (CEO) |
Authorized Official Contact | 4066764441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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107 Ridgewater Dr. Polson MT 59860 Ph: (406) 883-2666 | 107 Ridgewater Dr. Polson MT 59860 Ph: (406) 883-2666 |
NPI Number | 1225585532 |
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Provider Enumeration Date | 09/02/2016 |
Last Update Date | 01/14/2025 |
Identifier | Type | State | Issuer |
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1225585532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Wholeness In Health House-call Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37926 Mt Highway 35, Polson, MT 59860 Phone: 406-261-5019 Fax: 406-883-6465 | |