Provider Demographics
NPI:1801865530
Name:HARRISON, CHRISTEL (OT/L)
Entity type:Individual
Prefix:MRS
First Name:CHRISTEL
Middle Name:
Last Name:HARRISON
Suffix:
Gender:
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3051 CABERNET DRIVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8644
Mailing Address - Country:US
Mailing Address - Phone:406-282-1030
Mailing Address - Fax:406-422-0626
Practice Address - Street 1:3051 CABERNET DRIVE
Practice Address - Street 2:SUITE 3
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8644
Practice Address - Country:US
Practice Address - Phone:406-282-1030
Practice Address - Fax:406-422-0626
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT119225XH1200X
MTOTP-OT-LIC-119225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000066410OtherBC
MT0345253Medicaid
MT000005958Medicare ID - Type Unspecified