Tri-County Special Education Cooperative

Physical Therapist · Broadus, MT

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At a glance

119 N Park Ave., Broadus, MT 59317-0718

NPPES record updated Jan 7, 2022. Public records can lag behind changes at a practice.

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Practice location

119 N Park Ave.
Broadus, MT 59317-0718
Professional details: NPI, taxonomy & registry record
NPI1245775691
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Registry details

Primary taxonomy
Physical Therapist
Taxonomy code
225100000X
Enumeration date
Dec 21, 2016
Record updated
Jan 7, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Psychologist

103T00000X

Physical Therapist

225100000X · Primary

Occupational Therapist

225X00000X

Specialty details in registry

2355S0801X

Speech-Language Pathologist

235Z00000X

Specialty details in registry

251300000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

119 N Park Ave.
Broadus, MT 59317-0718
Phone
(406) 436-2488
Fax
(406) 436-2151
Mailing address
PO BOX 718

BROADUS, MT 593170718
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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