Provider Demographics
NPI:1003004615
Name:PRECISION HEALTH STUDIOS
Entity Type:Organization
Organization Name:PRECISION HEALTH STUDIOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:MONTANA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:203-458-9688
Mailing Address - Street 1:2346 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-4367
Mailing Address - Country:US
Mailing Address - Phone:203-458-9688
Mailing Address - Fax:203-458-9686
Practice Address - Street 1:2346 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-4367
Practice Address - Country:US
Practice Address - Phone:203-458-9688
Practice Address - Fax:203-458-9686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy