Healthcare Provider Details

I. General information

NPI: 1811808637
Provider Name (Legal Business Name): NATALIE FLOROS PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N 2ND ST APT 2
HAMILTON MT
59840-2589
US

IV. Provider business mailing address

105 CHARLO CT APT 2
MISSOULA MT
59802-2899
US

V. Phone/Fax

Practice location:
  • Phone: 406-201-1248
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number11221
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: