Provider Demographics
NPI:1679317432
Name:JONES, ANYA MARIE (OTR)
Entity type:Individual
Prefix:
First Name:ANYA MARIE
Middle Name:
Last Name:JONES
Suffix:
Gender:
Credentials:OTR
Other - Prefix:
Other - First Name:ANYA
Other - Middle Name:MARIE
Other - Last Name:NORDLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2013 S WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5177
Mailing Address - Country:US
Mailing Address - Phone:619-917-2045
Mailing Address - Fax:
Practice Address - Street 1:185 COMMONS LOOP STE D
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-1913
Practice Address - Country:US
Practice Address - Phone:406-314-6060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT225XN1300X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation