Healthcare Provider Details

I. General information

NPI: 1902761117
Provider Name (Legal Business Name): TRUE NORTH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30-3 BAR N HILL RD
FAIRVIEW WY
83119
US

IV. Provider business mailing address

PO BOX 118
FAIRVIEW WY
83119-0118
US

V. Phone/Fax

Practice location:
  • Phone: 307-248-8471
  • Fax:
Mailing address:
  • Phone: 307-248-8471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. SAMUEL CHRISTIAN SEMADENI
Title or Position: OWNER
Credential: OTD
Phone: 307-248-8471