# BLUEBIRD HOLISTIC THERAPY

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

## Provider details

- **NPI number:** 1790639649
- **Authorized official:** MRS. JANA MARIE MONTGOMERY OTR/L (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (208) 551-1575

## Contact information

- **Practice address:** 311 E COEUR D ALENE AVE STE C UNIT 9, COEUR D ALENE, ID 83814-4965
- **Practice address phone:** (208) 551-1575
- **Mailing address:** 12208 N DIAMOND DR, HAYDEN, ID 83835-7909

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2026
- **Last updated:** 03/31/2026