Healthcare Provider Details

I. General information

NPI: 1376466128
Provider Name (Legal Business Name): KRISTEN MACDONALD OTD, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 STONERIDGE DR STE 2
BOZEMAN MT
59718-8124
US

IV. Provider business mailing address

634 W SHORE DR
BELGRADE MT
59714-9543
US

V. Phone/Fax

Practice location:
  • Phone: 406-219-2114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: