Provider Demographics
NPI:1558514950
Name:STENSON PHYSICAL THERAPY
Entity Type:Organization
Organization Name:STENSON PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:STENSON
Authorized Official - Suffix:
Authorized Official - Credentials:PTMS
Authorized Official - Phone:406-782-4748
Mailing Address - Street 1:524 E PARK ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-1929
Mailing Address - Country:US
Mailing Address - Phone:406-782-4748
Mailing Address - Fax:406-782-4375
Practice Address - Street 1:524 E PARK ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1929
Practice Address - Country:US
Practice Address - Phone:406-782-4748
Practice Address - Fax:406-782-4375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1671261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy