Healthcare Provider Details

I. General information

NPI: 1316865579
Provider Name (Legal Business Name): RILEE GRAY-SMITH DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 VALLEY COMMONS DR STE 101
BOZEMAN MT
59718-4531
US

IV. Provider business mailing address

714 COLLEGE AVE
DEER LODGE MT
59722-1609
US

V. Phone/Fax

Practice location:
  • Phone: 406-404-1897
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPRD-PT-LIC-31702
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: