Parkside Physical Therapy, LLC

NPI #1407362049 in West Yellowstone, Montana

Provider Information

NPI Number: 1407362049
Entity Type: Organization
Organization Name: Parkside Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 19, 2017
Last Updated: Dec 19, 2017

Practice Location

Address: 235 FIREHOLE AVE
City: West Yellowstone
State: Montana
ZIP Code: 59758-1573
Phone: (406) 646-7068

Authorized Official

Name: JENNIFER L JORDAN, P.T
Title: PROVIDER/OWNER
Phone: (406) 646-7068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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