Donna Stafford, OTR/L
Individual provider Active NPI Occupational Therapist · Eureka, MT
NPI 1649544602 · NPPES record last updated Mar 7, 2012
Key facts
- NPI
- 1649544602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1058 (MT)
- Practice address
- 103 Mockingbird CT
Eureka, MT 59917-9493 - Phone
- (406) 889-5759
- NPI assigned
- Mar 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1058 | MT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1058 | MT | Yes |
Addresses
Primary practice location
103 Mockingbird CT
Eureka, MT 59917-9493
Mailing address
103 Mockingbird CT
Eureka, MT 59917-9493
Phone (406) 889-5759
Other providers in Eureka, MT
- Jennifer Siemens
- Caroline S. Sitkins
- Emily A Smith
- Michelle J Smith
- Lisa M Spors-Murphy
- Catherine L Starks
- Edward P Stein
- Jenna Beth Steiner
- The Evangelical Lutheran Good Samaritan Society
- Chelsea Mae Torres
All providers in Eureka, MT · Occupational Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.