| Moving Mountains Therapy Center, Pllc | |
|
3031 S Russell St Ste B Missoula MT 59801-8523 | |
| (406) 396-4130 | |
| (406) 797-5008 |
| Full Name | Moving Mountains Therapy Center, Pllc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 3031 S Russell St Ste B, Missoula, Montana |
| Authorized Official Name and Position | Laura Louise Olsowoski (CO-OWNER) |
| Authorized Official Contact | 4063964130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Mountains Therapy Center, Pllc 3031 S Russell St Ste B Missoula MT 59801-8523 Ph: (406) 396-4130 | Moving Mountains Therapy Center, Pllc 3031 S Russell St Ste B Missoula MT 59801-8523 Ph: (406) 396-4130 |
| NPI Number | 1528526894 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Medicare PECOS PAC ID | 6709298276 |
|---|---|
| Medicare Enrollment ID | O20201208001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528526894 | NPI | - | NPPES |
| Provider Name | Renee L Gibson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639390495 PECOS PAC ID: 0446205066 Enrollment ID: I20050317000417 |
| 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 | Allison Michelle Gue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053966044 PECOS PAC ID: 5496085151 Enrollment ID: I20201208001670 |
| 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 | Bridget M Mcgrath |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689240871 PECOS PAC ID: 9032512041 Enrollment ID: I20210728003837 |
| Provider Name | Janis Nelson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255069035 PECOS PAC ID: 9739565714 Enrollment ID: I20220928001570 |
| 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 |
| Provider Name | Kaija Dahlstrom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598484263 PECOS PAC ID: 9133583339 Enrollment ID: I20230906002725 |
| Provider Name | Brianna Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154187540 PECOS PAC ID: 1951740786 Enrollment ID: I20240412003063 |
| Provider Name | Kelsey Christopher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619546942 PECOS PAC ID: 9638617954 Enrollment ID: I20240819001479 |
| Provider Name | Adam Pohl |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902676513 PECOS PAC ID: 9133656135 Enrollment ID: I20250102000643 |
| Provider Name | Havala L Mayer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578333027 PECOS PAC ID: 5092242073 Enrollment ID: I20250116001981 |
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