Healthcare Provider Details

I. General information

NPI: 1770449704
Provider Name (Legal Business Name): LARKSPUR THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2026
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 SHILOH RD STE A
BILLINGS MT
59106-1736
US

IV. Provider business mailing address

1780 SHILOH RD STE A
BILLINGS MT
59106-1736
US

V. Phone/Fax

Practice location:
  • Phone: 406-393-9250
  • Fax: 406-258-0576
Mailing address:
  • Phone: 406-393-9250
  • Fax: 406-258-0576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMANDA MICHAEL
Title or Position: OWNER
Credential: OTD
Phone: 406-393-9250