Healthcare Provider Details

I. General information

NPI: 1841158235
Provider Name (Legal Business Name): ARIEL STARR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 S DAKOTA ST
BUTTE MT
59701-2003
US

IV. Provider business mailing address

PO BOX 332
CLARK FORK ID
83811-0332
US

V. Phone/Fax

Practice location:
  • Phone: 406-830-5152
  • Fax:
Mailing address:
  • Phone: 406-830-5152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberLMT-LMT-LIC-4225
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: