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

Mackenzie Tanner

Individual provider Physical Therapist · NPI 1215777172

Mackenzie Tanner is a Physical Therapist in Private Practice in Missoula, Montana. Qualified in 2024, 2 years ago. Practices with Amy Sellman PT PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
2
Licensed in
MT
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2409 Dearborn Ave
Missoula, MT 59801-7596
Phone: (406) 543-7860
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTP-PT-LIC-29796 (MT)

Record details

NPI number1215777172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Amy Sellman Pt Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Missoula