Healthcare Provider Details

I. General information

NPI: 1871032987
Provider Name (Legal Business Name): HEALTHY BEGINNINGS PEDIATRIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2017
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
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: 406-471-9910
  • Fax: 406-309-2076
Mailing address:
  • Phone: 406-471-9910
  • Fax: 406-309-2076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LYNN KINGAN
Title or Position: OWNER
Credential:
Phone: 406-471-9910