Provider Demographics
NPI:1346476306
Name:GELLER, JOY LYNNE (LMT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:LYNNE
Last Name:GELLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:LYNNE
Other - Last Name:O'HARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:1300 6TH AVE N
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-1604
Mailing Address - Country:US
Mailing Address - Phone:406-564-2425
Mailing Address - Fax:
Practice Address - Street 1:125 NORTHWEST BYP STE H
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-4141
Practice Address - Country:US
Practice Address - Phone:406-315-3146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist