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Individual

TAMARA LEE KITTELSON-ALDRED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR, ATP

Contact information

Practice address
501 E CENTRAL AVE, MISSOULA, MT 59801-7022
(406) 549-9521
(406) 728-4190
Mailing address
501 E CENTRAL AVE, MISSOULA, MT 59801-7022
(406) 549-9521
(406) 728-4190

Taxonomy

Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
225X00000X
Occupational Therapist
41
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0601681
MT
05
344675
MT
01
66205
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/06/2006
Last updated
09/11/2025
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