Provider Demographics
NPI:1750145132
Name:PRICE, NOELLE ALEXANDRA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:ALEXANDRA
Last Name:PRICE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11596 SKAGWAY LN
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-8483
Mailing Address - Country:US
Mailing Address - Phone:406-260-7268
Mailing Address - Fax:
Practice Address - Street 1:16400 FRENCHTOWN FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:MT
Practice Address - Zip Code:59834-9301
Practice Address - Country:US
Practice Address - Phone:406-626-0026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-LIC-27473225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist