Healthcare Provider Details
I. General information
NPI: 1861863763
Provider Name (Legal Business Name): REACH REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2015
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
830 FLOWERREE ST
HELENA MT
59601-6001
US
IV. Provider business mailing address
830 FLOWERREE ST
HELENA MT
59601-6001
US
V. Phone/Fax
- Phone: 406-437-9658
- Fax:
- Phone: 406-437-9658
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | 3274 |
| License Number State | MT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XN1300X |
| Taxonomy | Neurorehabilitation Occupational Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
MELINDA
BETH
MARTIN
Title or Position: OCCUPATIONAL THERAPIST
Credential: OT
Phone: 406-209-8058