MEDICARE: HEIDI KATHLEEN FLETCHER MOT, OTR/L, C/NDT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	60637528	WA
2	225X00000X	Occupational Therapist	9471	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386187151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI KATHLEEN FLETCHER MOT, OTR/L, C/NDT

Provider Business Mailing Address
First Line	:	270 BLACKBERRY LOOP UNIT B
Second Line	:
City	:	WHITEFISH
State	:	MT
Zip	:	59937-7993
Country	:	US
Telephone Number	:	406-290-9373
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 4TH AVE W
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-3605
Country	:	US
Telephone Number	:	406-290-9373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2016
Last Update Date	:	05/12/2025

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Directions to “ HEIDI KATHLEEN FLETCHER MOT, OTR/L, C/NDT” Practice Location

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