Provider Demographics
NPI:1962184861
Name:THE NOTCH PT AND WELLNESS LLC
Entity type:Organization
Organization Name:THE NOTCH PT AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:INEZ
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:406-660-2014
Mailing Address - Street 1:610 N MONTANA ST STE 3
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-3348
Mailing Address - Country:US
Mailing Address - Phone:406-596-2793
Mailing Address - Fax:406-660-4145
Practice Address - Street 1:610 N MONTANA ST STE 3
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-3348
Practice Address - Country:US
Practice Address - Phone:406-596-2793
Practice Address - Fax:406-660-4145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy