MEDICARE: HANNAH NORTHROP DPT

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	225100000X	Physical Therapist	PRD-PT-LIC-24753	MT

General Provider Information

NPI Number	:	1699441030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH NORTHROP DPT

Provider Business Mailing Address
First Line	:	2827 FORT MISSOULA RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59804-7408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2827 FORT MISSOULA RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59804-7408
Country	:	US
Telephone Number	:	406-728-4100
Fax Number	:

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

Provider Enumeration Date	:	08/17/2021
Last Update Date	:	05/04/2026

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