Provider Demographics
NPI:1104519156
Name:MOUNTAINS AND MILESTONES THERAPY PLLC
Entity type:Organization
Organization Name:MOUNTAINS AND MILESTONES THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-491-1710
Mailing Address - Street 1:PO BOX 4464
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59702-4464
Mailing Address - Country:US
Mailing Address - Phone:406-565-5085
Mailing Address - Fax:833-406-2356
Practice Address - Street 1:3718 E LAKE DR
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-4388
Practice Address - Country:US
Practice Address - Phone:406-565-5085
Practice Address - Fax:833-406-2356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty