Provider Demographics
NPI:1962814699
Name:PESTER, TIA
Entity Type:Individual
Prefix:
First Name:TIA
Middle Name:
Last Name:PESTER
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 1:6325 JACKRABBIT LN
Mailing Address - Street 2:STE A
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-9128
Mailing Address - Country:US
Mailing Address - Phone:406-388-4988
Mailing Address - Fax:406-388-6188
Practice Address - Street 1:6325 JACKRABBIT LN
Practice Address - Street 2:STE A
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-9128
Practice Address - Country:US
Practice Address - Phone:406-388-4988
Practice Address - Fax:406-388-6188
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist