Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist |
NPI | 1003244427 |
---|---|
Provider Name | Jonathan W Griffith |
First Address | Billings, MT 59101-7507 |
Second Address | Billings, MT 59101-7507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2013 |
Last Update Date | 22/10/2013 |