Provider Demographics
NPI:1568934305
Name:SPRING-BACK PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:SPRING-BACK PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DAYNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SPRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:406-945-3532
Mailing Address - Street 1:800 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-4504
Mailing Address - Country:US
Mailing Address - Phone:406-945-3532
Mailing Address - Fax:
Practice Address - Street 1:309 3RD AVE
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-3535
Practice Address - Country:US
Practice Address - Phone:406-945-9009
Practice Address - Fax:406-945-9011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty