Basic Information
| Provider Information | |||||||||
| NPI: | 1164933461 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CONROY | ||||||||
| FirstName: | DAKOTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2550 WESTWOOD LOOP UNIT 2 | ||||||||
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| City: | HELENA | ||||||||
| State: | MT | ||||||||
| PostalCode: | 596018009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062145096 | ||||||||
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| Practice Location | |||||||||
| Address1: | 800 FRONT ST | ||||||||
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| City: | HELENA | ||||||||
| State: | MT | ||||||||
| PostalCode: | 596013309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4064434140 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2017 | ||||||||
| LastUpdateDate: | 03/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 087901 | IA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 294542 | CA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 12897 | MT | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.