# OSTEOPHYSIOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anderson Integrative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194285767
- **Authorized official:** MATTHEW J ANDERSON FNP (OWNER)
- **Authorized official phone:** (406) 493-0712

## Contact information

- **Practice address:** 2831 FORT MISSOULA RD STE 203, MISSOULA, MT 59804-7479
- **Practice address phone:** (406) 493-0712
- **Practice address fax:** (406) 251-4563
- **Mailing address:** 2831 FORT MISSOULA RD STE 203, MISSOULA, MT 59804-7479
- **Mailing address phone:** (406) 493-0712
- **Mailing address fax:** (406) 251-4563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2019
- **Last updated:** 09/27/2023