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

Individual provider Physical Therapist · NPI 1033112073

Desiree Van Blaricom, PT is a Physical Therapist in Butte, Montana. Licensed in Montana. Registered with an NPI since 2005.

Licensed in
MT
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

435 S Crystal St Ste 400
Butte, MT 59701-1506
Phone: (406) 496-3456
Fax: (406) 496-3457
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1821 (MT)

Record details

NPI number1033112073
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESSeptember 19, 2007
Mailing address435 S Crystal St, Ste 400, Butte, MT 59701-1506

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