Provider Demographics
NPI:1891449310
Name:THOMAS, TORI RACHELLE
Entity Type:Individual
Prefix:MS
First Name:TORI
Middle Name:RACHELLE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
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 6451
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59406-6451
Mailing Address - Country:US
Mailing Address - Phone:406-205-0452
Mailing Address - Fax:406-545-2276
Practice Address - Street 1:1601 2ND AVE N STE 700
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3288
Practice Address - Country:US
Practice Address - Phone:406-205-0452
Practice Address - Fax:406-545-2276
Is Sole Proprietor?:No
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician