Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glacier Functional Therapy

Organization Medical Specialty Clinic/Center · NPI 1174320295

Glacier Functional Therapy is a Medical Specialty Clinic/Center in Whitefish, Montana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

903 Spokane Ave Ste 4
Whitefish, MT 59937-2980
Phone: (406) 282-4064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1174320295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Selena Bach — Sole Member · (208) 610-8671
Other names Northern Lights Functional Therapy
NPI enumeratedFebruary 26, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing addressPo Box 1087, Whitefish, MT 59937-1087

Other providers in Whitefish