Healthcare Provider Details

I. General information

NPI: 1073250668
Provider Name (Legal Business Name): VALKRYIE FITNESS AND REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 LEWIS AVE STE 107
BILLINGS MT
59102-4182
US

IV. Provider business mailing address

PO BOX 21152
BILLINGS MT
59104-1152
US

V. Phone/Fax

Practice location:
  • Phone: 406-647-0042
  • Fax: 406-204-7933
Mailing address:
  • Phone: 406-647-0042
  • Fax: 406-204-7933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: TENIKA L CAPOUCH
Title or Position: OWNER
Credential: MS, OTR/L
Phone: 406-647-0042