Provider Demographics
NPI:1366828782
Name:MAEKER, VALERIE (OT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:MAEKER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 959
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MT
Mailing Address - Zip Code:59019-0959
Mailing Address - Country:US
Mailing Address - Phone:406-322-1075
Mailing Address - Fax:406-322-5207
Practice Address - Street 1:710 11TH ST N
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MT
Practice Address - Zip Code:59019-7215
Practice Address - Country:US
Practice Address - Phone:406-322-1075
Practice Address - Fax:406-322-5207
Is Sole Proprietor?:No
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3337225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT413032Medicaid
MT413032Medicaid