Healthcare Provider Details

I. General information

NPI: 1265914667
Provider Name (Legal Business Name): JENNA ROSALIE HARP MESERVY MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2018
Last Update Date: 01/05/2025
Certification Date: 01/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N 2ND ST
HAMILTON MT
59840-2589
US

IV. Provider business mailing address

108 N 2ND ST
HAMILTON MT
59840-2589
US

V. Phone/Fax

Practice location:
  • Phone: 406-201-1248
  • Fax: 406-215-9002
Mailing address:
  • Phone: 406-201-1248
  • Fax: 406-215-9002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6133
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: