| Grant Damon Poor, MS, PT | |
| 
					15 6th St S, Fairfield, MT 59436  | |
| (406) 467-3800 | |
| (406) 467-3828 | 
| Full Name | Grant Damon Poor | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 15 6th St S, Fairfield, Montana | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194740928 | NPI | - | NPPES | 
| 60396 | Other | MT | BC/BS OF MT | 
| 0340187 | Medicaid | MT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 1258 PT (Montana) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Grant Damon Poor, MS, PT Po Box 457, Fairfield, MT 59436 Ph: (406) 467-3800  | Grant Damon Poor, MS, PT 15 6th St S, Fairfield, MT 59436 Ph: (406) 467-3800  | 
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  | |
Eagle Physical Therapy & Sports Med Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 6th St S, Fairfield, MT 59436 Phone: 406-467-3800 Fax: 406-467-3828  |