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

Robert Kelly Bohannon, PTA

Individual provider Physical Therapy Assistant · NPI 1952808677

Robert Kelly Bohannon, PTA is a Physical Therapy Assistant in Great Falls, Montana. Licensed in Montana. Registered with an NPI since 2018.

Licensed in
MT
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

500 15th Ave S
Great Falls, MT 59405-4324
Phone: (406) 455-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTP-PTA-LIC-9399 (MT)

Record details

NPI number1952808677
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESApril 9, 2018

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