Provider Demographics
NPI:1467757542
Name:AMY SELLMAN PT PLLC
Entity Type:Organization
Organization Name:AMY SELLMAN PT PLLC
Other - Org Name:ELEMENT PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:406-543-7860
Mailing Address - Street 1:PO BOX 935
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59806-0935
Mailing Address - Country:US
Mailing Address - Phone:406-543-7860
Mailing Address - Fax:406-543-7862
Practice Address - Street 1:2409 DEARBORN AVE STE E
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7586
Practice Address - Country:US
Practice Address - Phone:406-543-7860
Practice Address - Fax:406-543-7862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1549261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy