Organization Name: | LOLO PHYSICAL THERAPY PLLC |
NPI Number: | 1235332594 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL RAFE SANDRY (OWNER PHYSICAL THERAPIST) |
Mailing Address: | 106 Tyler Way Lolo |
State: | MT US |
Postal Code: | 598479714 |
Phone Number: | 4062733730 |
Fax Number: | 4062739088 |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 11/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1263PT |
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 |