Provider Demographics
NPI:1053879312
Name:INFINITY HEALTH PHYSICAL THERAPY AND WELLNESS
Entity type:Organization
Organization Name:INFINITY HEALTH PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:406-560-2581
Mailing Address - Street 1:482 OLD CORVALLIS RD
Mailing Address - Street 2:STE A
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-3129
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:482 OLD CORVALLIS RD
Practice Address - Street 2:STE A
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59894-3129
Practice Address - Country:US
Practice Address - Phone:406-381-3683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty