Organization
FUNCTIONAL PERFORMANCE THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW IADEROSA (OWNER)
(912) 656-6532
Entity
Organization
Contact information
Practice address
901 SW HIGGINS AVE, MISSOULA, MT 59803-3600
(912) 656-6532
Mailing address
1127 JACKSON ST, MISSOULA, MT 59802-3839
(912) 656-6532
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
09/10/2025
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