| Eat Move Grow Llc | |
|
3031 S Russell St Ste B, Missoula, MT 59801-8523 | |
| (406) 396-4130 | |
| (406) 797-5008 |
| Full Name | Eat Move Grow Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 3031 S Russell St Ste B, Missoula, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255889846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTP-OT-LIC-3971 (Montana) | Primary |
| Provider Name | Tamara L Kittelson-aldred |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346309424 PECOS PAC ID: 0840280426 Enrollment ID: I20040514001241 |
| Provider Name | Laura L Olsonoski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700268554 PECOS PAC ID: 8729344601 Enrollment ID: I20171108003781 |
| Provider Name | Christina C Sinskichott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285146670 PECOS PAC ID: 6709141708 Enrollment ID: I20180817000572 |
| Provider Name | Marisa Mae Thompson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780954339 PECOS PAC ID: 2567795933 Enrollment ID: I20190618001037 |
| Provider Name | Tessa Caroleen Dedominic |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790292415 PECOS PAC ID: 3577964824 Enrollment ID: I20210624002029 |
| Provider Name | Sara L Ruggiero |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770995615 PECOS PAC ID: 6204227044 Enrollment ID: I20220105000854 |
| Provider Name | Morgan Mazurkiewicz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710638259 PECOS PAC ID: 0244611606 Enrollment ID: I20220715001200 |
| Provider Name | Samantha N Rogozynski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083278543 PECOS PAC ID: 6901271923 Enrollment ID: I20230405000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Eat Move Grow Llc 3031 S Russell St, Missoula, MT 59801-8523 Ph: (952) 356-6778 | Eat Move Grow Llc 3031 S Russell St Ste B, Missoula, MT 59801-8523 Ph: (406) 396-4130 |
Thomas Richter, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2965 Stockyard Rd, Missoula, MT 59808 Phone: 406-541-2606 | |
Sage Hill Therapy Services Pc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Sw Higgins Ave, Missoula, MT 59803 Phone: 406-360-2068 Fax: 406-777-5621 | |
Kendra Rae Nickol, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2321 S 3rd St W # 1332, Missoula, MT 59801 Phone: 406-214-3131 | |
Melissa Haidle, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1301 E Broadway St, Missoula, MT 59802 Phone: 406-721-0680 | |
Sarah Moore, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Sw Higgins Ave, Missoula, MT 59803 Phone: 406-552-1480 | |
Catherine C Forzley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2651 South Ave W, Missoula, MT 59804 Phone: 406-728-9162 | |
Mrs. Patricia Ann Delaney, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4718 23rd Ave, Suite 500, Missoula, MT 59803 Phone: 406-626-0400 Fax: 406-626-0401 |