# ADAPTIVE INDEPENDENCE MISSOULA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730974601
- **Authorized official:** JESSIE ALEXANDER OTR/L (OWNER)
- **Authorized official phone:** (406) 282-3128

## Contact information

- **Practice address:** 555 S CATLIN ST APT 218, MISSOULA, MT 59801-1650
- **Practice address phone:** (406) 282-3128
- **Practice address fax:** (406) 924-7022
- **Mailing address:** 555 S CATLIN ST APT 218, MISSOULA, MT 59801-1650
- **Mailing address phone:** (406) 282-3128
- **Mailing address fax:** (406) 924-7022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2025
- **Last updated:** 04/11/2025