# ROOTS REHAB

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

## Provider details

- **NPI number:** 1811539190
- **Authorized official:** PAULA J BANKS (INSURANCE & BILLING COORDINATOR)
- **Authorized official phone:** (406) 459-8163

## Contact information

- **Practice address:** 104 W CUSTER AVE STE 7, HELENA, MT 59602-0106
- **Practice address phone:** (406) 439-6937
- **Practice address fax:** (406) 422-0359
- **Mailing address:** PO BOX 5175, HELENA, MT 59604-5175
- **Mailing address phone:** (406) 439-6937
- **Mailing address fax:** (406) 422-0359

## Taxonomy

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

## Other

- **Enumeration date:** 10/08/2019
- **Last updated:** 10/08/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000537329 | — | MT |