Provider Demographics
NPI:1386469120
Name:STILL POINT WELLNESS LLC
Entity type:Organization
Organization Name:STILL POINT WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, PTA
Authorized Official - Phone:406-475-2654
Mailing Address - Street 1:PO BOX 142
Mailing Address - Street 2:
Mailing Address - City:SIMMS
Mailing Address - State:MT
Mailing Address - Zip Code:59477-0142
Mailing Address - Country:US
Mailing Address - Phone:406-475-2654
Mailing Address - Fax:
Practice Address - Street 1:203 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:MT
Practice Address - Zip Code:59436-9341
Practice Address - Country:US
Practice Address - Phone:406-475-2654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STILL POINT WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No172M00000XOther Service ProvidersMechanotherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1548741838OtherVETERANS ADMINISTRATION CARE IN THE COMMUNITY PROVIDER
MT1407612864OtherVETERANS CARE IN THE COMMUNITY PROVIDER