Northern Lights Physical Therapy, LLC

NPI #1578796918 in Great Falls, Montana

Provider Information

NPI Number: 1578796918
Entity Type: Organization
Organization Name: Northern Lights Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 2, 2009
Last Updated: Nov 24, 2009

Practice Location

Address: 914 13TH AVE S
City: Great Falls
State: Montana
ZIP Code: 59405-4406
Phone: (406) 761-3767

Authorized Official

Name: ANDREA C JOHNSON, PT
Title: PHYSICAL THERAPIST
Phone: (406) 761-3767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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