Healthcare Provider Details

I. General information

NPI: 1396405874
Provider Name (Legal Business Name): PARIS PT & ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1685 PHEASANT BROOK DRIVE
LAUREL MT
59044
US

IV. Provider business mailing address

1685 PHEASANT BROOK DRIVE
LAUREL MT
59044
US

V. Phone/Fax

Practice location:
  • Phone: 406-696-3090
  • Fax:
Mailing address:
  • Phone: 406-696-3090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMY LYNN PARIS
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 406-696-3090