| Root Therapy and Wellness | |
|
1283 N 14th Ave Ste 101 Bozeman MT 59715-3270 | |
| (406) 219-5388 | |
| Not Available |
| Full Name | Root Therapy and Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1283 N 14th Ave Ste 101, Bozeman, Montana |
| Authorized Official Name and Position | Kezia Peterson (OCCUPATIONAL THERAPIST/OWNER) |
| Authorized Official Contact | 4062195388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Therapy and Wellness 1283 N 14th Ave Ste 101 Bozeman MT 59715-3270 Ph: (406) 219-5388 | Root Therapy and Wellness 1283 N 14th Ave Ste 101 Bozeman MT 59715-3270 Ph: (406) 219-5388 |
| NPI Number | 1194296897 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 10/07/2026 |
| Certification Date | 10/07/2026 |
| Medicare PECOS PAC ID | 1355681560 |
|---|---|
| Medicare Enrollment ID | O20190326003098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194296897 | NPI | - | NPPES |
| Provider Name | Karna K Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922196450 PECOS PAC ID: 8224095260 Enrollment ID: I20041211000126 |
| Provider Name | Kristi a O'connor-nyquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881683316 PECOS PAC ID: 1658346333 Enrollment ID: I20111007000627 |
| Provider Name | Kezia M Peterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831485507 PECOS PAC ID: 5496998890 Enrollment ID: I20130904000780 |
| Provider Name | Bethany Anne Jutzy Kecskes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134523491 PECOS PAC ID: 0345551594 Enrollment ID: I20150615002768 |
| Provider Name | Alison T Ramirez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992248595 PECOS PAC ID: 2567747561 Enrollment ID: I20181204003825 |
| Provider Name | Faith Ford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699318923 PECOS PAC ID: 4981086816 Enrollment ID: I20220809001196 |
| Provider Name | Amanda L Mattucci |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437789153 PECOS PAC ID: 9032594742 Enrollment ID: I20220916000470 |
| Provider Name | Hannah Haugen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417503640 PECOS PAC ID: 1456710441 Enrollment ID: I20230710000610 |
| Provider Name | Lindsey M Nelson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679174627 PECOS PAC ID: 7113467770 Enrollment ID: I20240910001580 |
| Provider Name | Wendy L Guido |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891274320 PECOS PAC ID: 1951839786 Enrollment ID: I20250107004219 |
| Provider Name | Tracy Heck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821811589 PECOS PAC ID: 6002344512 Enrollment ID: I20250113000495 |
| Provider Name | Kymberlee a Boston |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992514202 PECOS PAC ID: 6406386242 Enrollment ID: I20250210002131 |
| Provider Name | Eileen Beddall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548689201 PECOS PAC ID: 9931622172 Enrollment ID: I20250328002000 |
| Provider Name | Katherine R Northrup |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538998091 PECOS PAC ID: 7810415528 Enrollment ID: I20250516001365 |
| Provider Name | Cathelyne Hollibaugh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245558402 PECOS PAC ID: 2961913843 Enrollment ID: I20250617003451 |
| Provider Name | Jennifer Lewis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528370699 PECOS PAC ID: 1759897549 Enrollment ID: I20250718002886 |
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