Healthcare Provider Details

I. General information

NPI: 1669529921
Provider Name (Legal Business Name): JENNIFER HOPE LEIGHT PT, PHD, PCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 ALASKA FRONTAGE RD
BELGRADE MT
59714-7909
US

IV. Provider business mailing address

125 BANK ST STE 310
MISSOULA MT
59802-4413
US

V. Phone/Fax

Practice location:
  • Phone: 406-531-1801
  • Fax:
Mailing address:
  • Phone: 406-531-1801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number405
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1086PT
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT008278L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT1801
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: