MEDICARE: MORGAN SEDAHL

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	PRD-OT-LIC-8627	MT

General Provider Information

NPI Number	:	1710638259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN SEDAHL

Provider Business Mailing Address
First Line	:	1280 S 3RD ST W
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-2391
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 S 3RD ST W
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-2391
Country	:	US
Telephone Number	:	406-830-4500
Fax Number	:

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

Provider Enumeration Date	:	01/17/2022
Last Update Date	:	06/09/2026

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Directions to “ MORGAN SEDAHL ” Practice Location

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