Provider Demographics
NPI:1154550713
Name:TOTAL HEALTH PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:TOTAL HEALTH PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-600-1213
Mailing Address - Street 1:PO BOX 342
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-0342
Mailing Address - Country:US
Mailing Address - Phone:406-600-1213
Mailing Address - Fax:406-388-9607
Practice Address - Street 1:321 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-3410
Practice Address - Country:US
Practice Address - Phone:406-600-1213
Practice Address - Fax:406-388-9607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-03
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2235225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty