Healthcare Provider Details

I. General information

NPI: 1669101366
Provider Name (Legal Business Name): HALEY HARRINGTON OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 BOARDWALK AVE STE 1
BOZEMAN MT
59718-4118
US

IV. Provider business mailing address

1599 BORA WAY
BOZEMAN MT
59718-3411
US

V. Phone/Fax

Practice location:
  • Phone: 309-558-5327
  • Fax:
Mailing address:
  • Phone: 309-558-5327
  • 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: