MEDICARE: HOLLY WARNER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTP-PT-TMP-7524	MT

General Provider Information

NPI Number	:	1235542846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY WARNER DPT

Provider Business Mailing Address
First Line	:	PO BOX 65
Second Line	:
City	:	FLORENCE
State	:	MT
Zip	:	59833-0065
Country	:	US
Telephone Number	:	406-273-6002
Fax Number	:	406-273-6011

Provider Business Practice Location Address
First Line	:	2875 TINA AVE STE 2
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1581
Country	:	US
Telephone Number	:	406-541-8778
Fax Number	:	406-541-8780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2014
Last Update Date	:	03/31/2025

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Directions to “ HOLLY WARNER DPT” Practice Location

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