Provider Demographics
NPI:1649453861
Name:NOEL, MICHELLE Y (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:Y
Last Name:NOEL
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:SHELLY
Other - Middle Name:Y
Other - Last Name:NOEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTD, OTR/L
Mailing Address - Street 1:4185 SMOHAWK TRL
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-9644
Mailing Address - Country:US
Mailing Address - Phone:406-325-7037
Mailing Address - Fax:406-201-9119
Practice Address - Street 1:4185 SMOHAWK TRL
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-9644
Practice Address - Country:US
Practice Address - Phone:406-325-7037
Practice Address - Fax:406-201-9119
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAA267096225X00000X
MT6105225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist