Healthcare Provider Details

I. General information

NPI: 1346476306
Provider Name (Legal Business Name): JOY LYNNE GELLER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOY LYNNE O'HARA LMT

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 NORTHWEST BYP STE H
GREAT FALLS MT
59404-4141
US

IV. Provider business mailing address

1300 6TH AVE N
GREAT FALLS MT
59401-1604
US

V. Phone/Fax

Practice location:
  • Phone: 406-315-3146
  • Fax:
Mailing address:
  • Phone: 406-564-2425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: