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

Otter Slide Pediatric Physical Therapy, LLC

Organization Physical Therapist · NPI 1598502361

Otter Slide Pediatric Physical Therapy, LLC is a Physical Therapist in Missoula, Montana. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 Fairway Dr
Missoula, MT 59803-2404
Phone: (406) 312-9967
Fax: (406) 519-5542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1598502361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kiley Eversole — Physical Therapist · (406) 312-9967
NPI enumeratedJuly 10, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing addressPo Box 474, Missoula, MT 59806-0474

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