=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700286572
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARIA PHYSICAL THERAPY, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2014
-----------------------------------------------------
Last Update Date | 12/02/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 255 S RUSSELL ST STE A
-----------------------------------------------------
City | MISSOULA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59801-2395
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-360-9420
-----------------------------------------------------
Fax | 406-721-1978
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8422 WISE RIVER RD
-----------------------------------------------------
City | MISSOULA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59803-9637
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-360-9420
-----------------------------------------------------
Fax | 833-989-0303
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MRS. MICHELLE LEA HANDLEY
-----------------------------------------------------
Credential | P.T.
-----------------------------------------------------
Telephone | 406-360-9420
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number | 1209
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------