Healthcare Provider Details

I. General information

NPI: 1679437156
Provider Name (Legal Business Name): BRENDA JEAN TONER OT/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N 2ND ST
HAMILTON MT
59840-2589
US

IV. Provider business mailing address

310 STRAND AVE
MISSOULA MT
59801-5715
US

V. Phone/Fax

Practice location:
  • Phone: 406-201-9213
  • Fax: 406-215-9002
Mailing address:
  • Phone: 406-240-8048
  • Fax: 406-240-8048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number703
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: