Provider Demographics
NPI:1063820827
Name:TOTH, ALYSSA M (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:M
Last Name:TOTH
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:M
Other - Last Name:TRISCUIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 12TH AVE W STE 2A
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-3855
Mailing Address - Country:US
Mailing Address - Phone:406-471-1117
Mailing Address - Fax:406-309-2076
Practice Address - Street 1:55 HERITAGE WAY
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3100
Practice Address - Country:US
Practice Address - Phone:406-471-9910
Practice Address - Fax:406-309-2076
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3910225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist