Provider Demographics
NPI:1497474878
Name:HIGHLANDS PHYSICAL THERAPY & SPORTS MEDICINE PLLC
Entity Type:Organization
Organization Name:HIGHLANDS PHYSICAL THERAPY & SPORTS MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROCKY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAND
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:406-422-8028
Mailing Address - Street 1:204 HUMBUG DR
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-7761
Mailing Address - Country:US
Mailing Address - Phone:406-422-8028
Mailing Address - Fax:406-578-1105
Practice Address - Street 1:2000 OTTAWA ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-6008
Practice Address - Country:US
Practice Address - Phone:605-381-9615
Practice Address - Fax:406-578-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1811145592OtherNPI