Healthcare Provider Details

I. General information

NPI: 1669522884
Provider Name (Legal Business Name): THE COZY NEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 07/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 N 15TH AVE SUITE 101
BOZEMAN MT
59715-3289
US

IV. Provider business mailing address

1276 N 15TH AVE SUITE 101
BOZEMAN MT
59715-3289
US

V. Phone/Fax

Practice location:
  • Phone: 406-587-2755
  • Fax: 406-587-2783
Mailing address:
  • Phone: 406-587-2755
  • Fax: 406-587-2783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number StateMT
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1216
License Number StateMT

VIII. Authorized Official

Name: MRS. ROSEMARY P SEPPI
Title or Position: OWNER OCCUPATIONAL THERAPIST
Credential: OTRL
Phone: 406-587-2755