# WILD ROOTS THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Erica Schuppe Occupational Therapist Professional Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265892442
- **Authorized official:** MRS. ERICA SCHUPPE OT (OWNER)
- **Authorized official phone:** (406) 690-3789

## Contact information

- **Practice address:** 245 FOSTER LN, BILLINGS, MT 59101-3318
- **Practice address phone:** (406) 969-1795
- **Practice address fax:** (406) 969-1796
- **Mailing address:** 245 FOSTER LN, BILLINGS, MT 59101-3318
- **Mailing address phone:** (406) 969-1795
- **Mailing address fax:** (406) 969-1796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OTP-OT-LIC-4035 | MT | Yes |

## Other

- **Enumeration date:** 03/01/2016
- **Last updated:** 04/21/2024