Provider Demographics
NPI:1700286572
Name:ARIA PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:ARIA PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:HANDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:406-360-9420
Mailing Address - Street 1:8422 WISE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-9637
Mailing Address - Country:US
Mailing Address - Phone:406-360-9420
Mailing Address - Fax:833-989-0303
Practice Address - Street 1:255 S RUSSELL ST STE A
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-2395
Practice Address - Country:US
Practice Address - Phone:406-360-9420
Practice Address - Fax:406-721-1978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1209261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy