Healthcare Provider Details

I. General information

NPI: 1508511585
Provider Name (Legal Business Name): DANYELA MARIE FARRAR OTD/R/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
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 APT A
HAMILTON MT
59840-2590
US

V. Phone/Fax

Practice location:
  • Phone: 406-201-5461
  • Fax: 406-215-9002
Mailing address:
  • Phone: 406-201-5461
  • Fax: 406-215-9002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8677
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: