Organization Name: | MISSION VALLEY PHYSICAL THERAPY, PC |
NPI Number: | 1194076182 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANNON NUNLIST (PHYSICAL THERAPIST/OWNER) |
Mailing Address: | 51657 Us Highway 93 Polson |
State: | MT US |
Postal Code: | 598606903 |
Phone Number: | 4068836863 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 01/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |