Provider Demographics
NPI:1093273716
Name:RIVERBEND PHYSICAL THERAPY KALISPELL
Entity Type:Organization
Organization Name:RIVERBEND PHYSICAL THERAPY KALISPELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKKEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-607-0052
Mailing Address - Street 1:PO BOX 864
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-0864
Mailing Address - Country:US
Mailing Address - Phone:406-300-0452
Mailing Address - Fax:406-730-6555
Practice Address - Street 1:120 ROUNDSTONE DR STE 103
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3743
Practice Address - Country:US
Practice Address - Phone:406-300-0452
Practice Address - Fax:406-730-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty