Provider Demographics
NPI:1932855368
Name:VOGELZANG PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:VOGELZANG PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGELZANG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:406-544-5679
Mailing Address - Street 1:98 COLUMBINE RD
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-3379
Mailing Address - Country:US
Mailing Address - Phone:406-544-5679
Mailing Address - Fax:
Practice Address - Street 1:801 SHERWOOD ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-2659
Practice Address - Country:US
Practice Address - Phone:406-544-5679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy