Healthcare Provider Details

I. General information

NPI: 1811952542
Provider Name (Legal Business Name): LINDA SUE ROBERTS CO, CFM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 04/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 EUCLID AVE
HELENA MT
59601-1507
US

IV. Provider business mailing address

2121 EUCLID AVE
HELENA MT
59601-1507
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-7743
  • Fax:
Mailing address:
  • Phone: 406-443-7743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: