MEDICARE: DR. ASHLEY MARIE NEUMILLER OTD

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	225XP0200X	Pediatric Occupational Therapist	10427	MT

General Provider Information

NPI Number	:	1396429445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY MARIE NEUMILLER OTD

Provider Business Mailing Address
First Line	:	1408 4TH ST N
Second Line	:
City	:	CARRINGTON
State	:	ND
Zip	:	58421-1032
Country	:	US
Telephone Number	:	701-307-0554
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 12TH AVE W STE 2A
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-3855
Country	:	US
Telephone Number	:	406-471-1117
Fax Number	:	406-309-2076

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

Provider Enumeration Date	:	06/09/2023
Last Update Date	:	10/06/2023

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