| Organization Name: | DEER LODGE VALLEY THERAPY CLINIC, INC. |
| NPI Number: | 1780854927 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA N MCCATHY (OWNER) |
| Mailing Address: | 310 Main St Deer Lodge |
| State: | MT US |
| Postal Code: | 597221057 |
| Phone Number: | 4068463448 |
| Fax Number: | 4088462298 |
| NPI Enumeration Date: | 03/04/2008 |
| NPI Last Update Date: | 03/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | MT131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |