Granite Sports Medicine

NPI 1093089740 - Clinic/Center - 261QP2000X

NPI Details
NPI 1093089740
Enumeration Date 02/28/2012
Last Updated 02/28/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DARCY K DARCY
Position OWNER/STAFF PHYSICAL THERAPIST
Phone (406) 223-2763
Fax
Practice Location
1014 W PARK ST STE 4
LIVINGSTON MT, 59047-2541, US
Phone (406) 223-2763
Fax
Business Location
1014 W PARK ST STE 4
LIVINGSTON MT, 59047-2541, US
Phone (406) 223-2763
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State Montana
License Number 1794
Remove 1093089740 NPI Number
 

According to our database, Granite Sports Medicine NPI is 1093089740, taxonomy code is 261QP2000X and license number is 1794, license state is located at Montana. Granite Sports Medicine physically located at 1014 W Park St Ste 4, Livingston MT, 59047-2541. NPI Number 1033115704 has the healthcare provider type.

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1093089740 NPI number is provided on an as is basis without warranty of any kind. 1093089740 is maintained by the National Plan & Provider Enumeration System. The contents of Granite Sports Medicine are for informational purposes only.