Doctor Name: | EMILY M PFEIFER |
NPI Number: | 1043587215 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | 1639126303 |
Business Practice Address: | 4 Nylic Ln Butte, MT - 597014062 |
Business Phone Number: | 4064907562 |
Business Fax Number: | |
Mailing Address: | 4 Nylic Ln, BUTTE |
State: | MT |
Postal Code: | 597014062 |
Phone Number: | 4064907562 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 1639126303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |