Provider Demographics
NPI:1124801253
Name:CONCIERGE HEALTH AND WELLNESS PLLC
Entity type:Organization
Organization Name:CONCIERGE HEALTH AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:BLERIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DIBRA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, LMT
Authorized Official - Phone:701-500-3582
Mailing Address - Street 1:4120 KING AVE W STE 1
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-2927
Mailing Address - Country:US
Mailing Address - Phone:701-500-3582
Mailing Address - Fax:
Practice Address - Street 1:4120 KING AVE W STE 1
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-2927
Practice Address - Country:US
Practice Address - Phone:701-500-3582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty