IndividualActive
Brodie Long, OTD, OTR/L
NPI 1336964469 · Speech-Language Pathologist · Bozeman, MT
Provider details
- NPI number
- 1336964469
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- OTD, OTR/L
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
301 Edelweiss Dr Ste 7
Bozeman, MT 59718-3931
Phone: (406) 219-2114
Fax: (406) 219-2145
Approximate (ZIP-level) locationGet directions
Mailing address
952 Saxon Way Apt D
Bozeman, MT 59718-6536
Registry dates
- Enumerated
- 2024-11-22
- Last updated
- 2024-11-22
- Certified
- 2024-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.