Provider Demographics
NPI:1619323037
Name:BERTALOT, CHRISTINA (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:BERTALOT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 DEER TRL
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-8468
Mailing Address - Country:US
Mailing Address - Phone:603-842-0013
Mailing Address - Fax:
Practice Address - Street 1:350 CONWAY DR
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3148
Practice Address - Country:US
Practice Address - Phone:406-651-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305209705225100000X
PAPT024918225100000X
2251G0304X
MTPTP-PT-LIC-17337225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics