Provider Demographics
NPI:1073846861
Name:HAEDER, RAMONA LEA (PT)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:LEA
Last Name:HAEDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:LEA
Other - Last Name:ROLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1910 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-8988
Mailing Address - Country:US
Mailing Address - Phone:406-534-3649
Mailing Address - Fax:
Practice Address - Street 1:1910 FRONT ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-8988
Practice Address - Country:US
Practice Address - Phone:406-534-3649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1749225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist