| Organization Name: | CANYON FERRY PHYSICAL THERAPY, LLC |
| NPI Number: | 1427209246 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WANDA LAMBOTT (PRESIDENT) |
| Mailing Address: | 510 N Front St Townsend |
| State: | MT US |
| Postal Code: | 596442002 |
| Phone Number: | 2532096151 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2008 |
| NPI Last Update Date: | 10/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 1414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |