Provider Demographics
NPI:1023375441
Name:HUETH, ALISON (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:HUETH
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 N MONTANA ST
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-3353
Mailing Address - Country:US
Mailing Address - Phone:406-219-1972
Mailing Address - Fax:406-278-1161
Practice Address - Street 1:610 N MONTANA ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-3353
Practice Address - Country:US
Practice Address - Phone:406-219-1972
Practice Address - Fax:406-278-1161
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13447225X00000X
MTOT5446225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist