Healthcare Provider Details

I. General information

NPI: 1487262549
Provider Name (Legal Business Name): SAMARA THERAPY SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2020
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 S 3RD ST W STE 1
MISSOULA MT
59801-2392
US

IV. Provider business mailing address

6740 PRAIRIE SCHOONER LN
MISSOULA MT
59808-5904
US

V. Phone/Fax

Practice location:
  • Phone: 406-830-4500
  • Fax: 406-258-0849
Mailing address:
  • Phone: 406-251-4774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE A GAERTIG
Title or Position: OWNER/MANAGER
Credential: DPT
Phone: 406-251-4774