Healthcare Provider Details

I. General information

NPI: 1497578082
Provider Name (Legal Business Name): ALISON RICKERT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 E FRONT AVE PO BOX 407
JOLIET MT
59041
US

IV. Provider business mailing address

209 E FRONT AVE PO BOX 407
JOLIET MT
59041
US

V. Phone/Fax

Practice location:
  • Phone: 406-962-9860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTP-PT-LIC-32800
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0019596
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: