Provider Demographics
NPI:1750739314
Name:BEWLEY, ROBIN DIANE (DPT,OCS, FAAOMPT)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:DIANE
Last Name:BEWLEY
Suffix:
Gender:F
Credentials:DPT,OCS, FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 1ST ST
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-2578
Mailing Address - Country:US
Mailing Address - Phone:406-272-2111
Mailing Address - Fax:
Practice Address - Street 1:405 1ST ST
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-2578
Practice Address - Country:US
Practice Address - Phone:406-272-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT291332225100000X
CAOT14916225X00000X
MT171632251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist