Healthcare Provider Details

I. General information

NPI: 1851869119
Provider Name (Legal Business Name): KATIE ESTEY KNOLL MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE ESTEY

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HERITAGE WAY
KALISPELL MT
59901-3100
US

IV. Provider business mailing address

500 12TH AVE W STE 2A
COLUMBIA FALLS MT
59912-3855
US

V. Phone/Fax

Practice location:
  • Phone: 406-471-1117
  • Fax:
Mailing address:
  • Phone: 406-471-9910
  • Fax: 406-309-2076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number10567
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056.012704
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: