Organization Name: | PRIME THERAPIES INC. |
NPI Number: | 1891168001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BILLY MCCLENAHAN (OWNER, PHYSICAL THERAPIST) |
Mailing Address: | 15 Macee Lane Bozeman |
State: | MT US |
Postal Code: | 59718 |
Phone Number: | 4065994212 |
Fax Number: | 4065453394 |
NPI Enumeration Date: | 11/10/2015 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTP-PT-LIC-9412 |
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 |