Healthcare Provider Details

I. General information

NPI: 1851259352
Provider Name (Legal Business Name): MARIADELJESUS GARZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 MONTANA AVE
LIBBY MT
59923-2022
US

IV. Provider business mailing address

402 MONTANA AVE STE B
LIBBY MT
59923-2022
US

V. Phone/Fax

Practice location:
  • Phone: 406-283-1510
  • Fax:
Mailing address:
  • Phone: 406-283-1510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number7871
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: