Provider Demographics
NPI:1891433900
Name:TURTLE MOUNTAIN ELITE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:TURTLE MOUNTAIN ELITE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:701-477-8596
Mailing Address - Street 1:PO BOX 1808
Mailing Address - Street 2:
Mailing Address - City:BELCOURT
Mailing Address - State:ND
Mailing Address - Zip Code:58316-1808
Mailing Address - Country:US
Mailing Address - Phone:701-550-7301
Mailing Address - Fax:
Practice Address - Street 1:4370 HWY 281
Practice Address - Street 2:
Practice Address - City:BELCOURT
Practice Address - State:ND
Practice Address - Zip Code:58316-0985
Practice Address - Country:US
Practice Address - Phone:701-477-8596
Practice Address - Fax:701-477-8893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty