Spark Physical Therapy, Pllc

NPI #1407203128 in Billings, Montana

Provider Information

NPI Number: 1407203128
Entity Type: Organization
Organization Name: Spark Physical Therapy, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: May 23, 2016
Last Updated: May 23, 2016

Practice Location

Address: 1428 GRAND AVE
City: Billings
State: Montana
ZIP Code: 59102-3104
Phone: (989) 860-1543

Authorized Official

Name: SCOTT JOHNSON, M.P.T.
Title: OWNER
Phone: (989) 860-1543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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