OrganizationActive
Glacier Functional Therapy
NPI 1174320295 · Medical Specialty Clinic/Center · Whitefish, MT
Provider details
- NPI number
- 1174320295
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Selena Bach, Sole Member(208) 610-8671
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
903 Spokane Ave Ste 4
Whitefish, MT 59937-2980
Phone: (406) 282-4064
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1087
Whitefish, MT 59937-1087
Other names (DBA / former)
- Doing business as
- Northern Lights Functional Therapy
Registry dates
- Enumerated
- 2025-02-26
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.