Healthcare Provider Details

I. General information

NPI: 1992990022
Provider Name (Legal Business Name): ERIN RUSSELL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6325 JACKRABBIT LN
BELGRADE MT
59714-9128
US

IV. Provider business mailing address

386 W RIVER ROCK RD
BELGRADE MT
59714-9563
US

V. Phone/Fax

Practice location:
  • Phone: 406-388-4988
  • Fax:
Mailing address:
  • Phone: 406-599-6484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1007
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: