Organization Name: | BEARTOOTH PHYSICAL THERAPY |
NPI Number: | 1144598491 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MISTY D GARDNER (OWNER/SUPERVISOR) |
Mailing Address: | 1333 W 5th St Suite 203 Sheridan |
State: | WY US |
Postal Code: | 828012752 |
Phone Number: | 3077529335 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2011 |
NPI Last Update Date: | 10/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 1154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |