Organization
EAGLE MOUNT - GREAT FALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MARTIN (OFFICE MANAGER)
(406) 454-1449
Entity
Organization
Contact information
Practice address
4792 13TH ST S, GREAT FALLS, MT 59405-8127
(406) 454-1449
(406) 454-1780
Mailing address
9 3RD ST N STE 1, GREAT FALLS, MT 59401-3145
(406) 454-1449
(406) 454-1780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400605
—
MT
05
—
3402244
—
MT
05
—
345134
—
MT
Enumeration date
03/19/2007
Last updated
09/11/2025
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