| Organization Name: | NORTH STAR PHYSICAL THERAPY, LLC |
| NPI Number: | 1093136038 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET ZEISS (PT / MANAGER) |
| Mailing Address: | 5645 Us Hwy 26 Dubois |
| State: | WY US |
| Postal Code: | 82513 |
| Phone Number: | 3074553292 |
| Fax Number: | 3074553339 |
| NPI Enumeration Date: | 12/18/2013 |
| NPI Last Update Date: | 12/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT0747 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |