Provider Demographics
NPI:1821622028
Name:PISKE, BECKY JEAN (PT)
Entity Type:Individual
Prefix:MS
First Name:BECKY
Middle Name:JEAN
Last Name:PISKE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 STATE ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5788
Mailing Address - Country:US
Mailing Address - Phone:406-431-5624
Mailing Address - Fax:
Practice Address - Street 1:3345 COLTON DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-0252
Practice Address - Country:US
Practice Address - Phone:406-513-1422
Practice Address - Fax:406-513-1127
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT12952251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic