Provider Demographics
NPI:1073760021
Name:FLORENCE THERAPY AND WELLNESS
Entity Type:Organization
Organization Name:FLORENCE THERAPY AND WELLNESS
Other - Org Name:THREE RIVERS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPPY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-273-6002
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MT
Mailing Address - Zip Code:59833-0065
Mailing Address - Country:US
Mailing Address - Phone:406-273-4246
Mailing Address - Fax:
Practice Address - Street 1:5529 OLD US HIGHWAY 93
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MT
Practice Address - Zip Code:59833-6564
Practice Address - Country:US
Practice Address - Phone:406-273-4246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1698225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty