Healthcare Provider Details

I. General information

NPI: 1912877135
Provider Name (Legal Business Name): CHELSEY LORRAINE LEWIS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 S 3RD ST W
MISSOULA MT
59801-2391
US

IV. Provider business mailing address

1280 S 3RD ST W
MISSOULA MT
59801-2391
US

V. Phone/Fax

Practice location:
  • Phone: 406-830-4500
  • Fax:
Mailing address:
  • Phone: 406-830-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTP-PT-LIC-32846
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: