Doctor Name: | MRS. JILL A SIPPOS |
NPI Number: | 1154496875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 5312192-2401 |
Business Practice Address: | 8757 Jackrabbit Ln Belgrade, MT - 597147900 |
Business Phone Number: | 4063888118 |
Business Fax Number: | 4063889916 |
Mailing Address: | 1685 Tempest Ave, BOZEMAN |
State: | MT |
Postal Code: | 597186107 |
Phone Number: | 4356550317 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5312192-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |