IndividualActive
Marissa Roderick, OT
NPI 1417612169 · Pediatric Occupational Therapist · Kalispell, MT
Provider details
- NPI number
- 1417612169
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 0007132 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
55 Heritage Way
Kalispell, MT 59901-3100
Phone: (406) 471-9910
Fax: (406) 309-2076
Approximate (ZIP-level) locationGet directions
Mailing address
500 12th Ave W Ste 2a
Columbia Falls, MT 59912-3855
Additional practice locations (2)
- 5055 S Lemay AveFort Collins, CO 80525-9401Phone: (970) 223-3552
- 500 12th Ave W Ste 2aColumbia Falls, MT 59912-3855Phone: (406) 471-1117Fax: (406) 309-2076
Registry dates
- Enumerated
- 2021-11-07
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.