Provider Demographics
NPI:1093829095
Name:PHYSICAL THERAPY SOLUTIONS PLLC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:406-728-7888
Mailing Address - Street 1:2100 S HIGGINS AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-6761
Mailing Address - Country:US
Mailing Address - Phone:406-728-7888
Mailing Address - Fax:406-549-9952
Practice Address - Street 1:2100 S HIGGINS AVE
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-6761
Practice Address - Country:US
Practice Address - Phone:406-728-7888
Practice Address - Fax:406-549-9952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1199 PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0349843Medicaid
MTP00169423OtherRAILROAD MEDICARE
MTP00169423OtherRAILROAD MEDICARE