Individual
KRISTINA ELIZABETH RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3335 LT MOSS RD, MISSOULA, MT 59804-7222
(406) 549-6413
(406) 542-0143
Mailing address
3335 LT MOSS RD, MISSOULA, MT 59804-7222
(406) 549-6413
(406) 542-0143
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9463
MT
225X00000X
Occupational Therapist
OT.0005528
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200010190
—
MT
Enumeration date
07/28/2018
Last updated
12/14/2022
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