| Eagle Physical Therapy & Sports Med | |
|
15 6th St S, Fairfield, MT 59436 | |
| (406) 467-3800 | |
| (406) 467-3828 |
| Full Name | Eagle Physical Therapy & Sports Med |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 15 6th St S, Fairfield, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659768224 | NPI | - | NPPES |
| 1194740928 | Other | MT | MEDICARE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1258 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Physical Therapy & Sports Med Po Box 457, 15 6th St S, Fairfield, MT 59436-0457 Ph: (406) 467-3800 | Eagle Physical Therapy & Sports Med 15 6th St S, Fairfield, MT 59436 Ph: (406) 467-3800 |
Grant Damon Poor, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 6th St S, Fairfield, MT 59436 Phone: 406-467-3800 Fax: 406-467-3828 | |
Pivot Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 15th 6th St South, Fairfield, MT 59436 Phone: 406-467-3800 Fax: 406-467-3828 |