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GLACIER FUNCTIONAL THERAPY
NPI 1174320295
Clinic/Center - Medical Specialty in Whitefish, MT

Active since February 26, 2025
903 SPOKANE AVE STE 4, WHITEFISH, MT 59937(406) 282-4064 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Feb 26, 2025 (2 updates tracked since 2025).

About Glacier Functional Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLACIER FUNCTIONAL THERAPY (NPI 1174320295), doing business as Northern Lights Functional Therapy, is a healthcare organization registered as a medical specialty in Whitefish, Montana and active in the NPI registry since February 2025. The organization lists Selena Ruyi Bach, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1174320295
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameGLACIER FUNCTIONAL THERAPY
Location Address903 SPOKANE AVE STE 4Whitefish, MT 59937-2980
Mailing AddressPo Box 1087Whitefish, MT 59937-1087 · (208) 610-8671
Phone(406) 282-4064
Organization SubpartNo
Authorized OfficialSelena Ruyi BachSole Member · (208) 610-8671
Enumeration DateFebruary 26, 2025
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1174320295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
903 SPOKANE AVE STE 4, Whitefish, MT 59937
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Other Names 1

Doing Business AsNorthern Lights Functional Therapy

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUNA COLLECTIVE LLC
Counselor (Addiction (Substance Use Disorder))
903 SPOKANE AVE STE 4
WHITEFISH, MT 59937
Flathead County (406) 407-3069
CRISTEN LORRAINE VAUGHAN LAC
Counselor (Addiction (Substance Use Disorder))
903 SPOKANE AVE STE 4
WHITEFISH, MT 59937
Flathead County (406) 407-3069
JAMIE KIMBALL LAC
Acupuncturist
903 SPOKANE AVE STE 4
WHITEFISH, MT 59937
Flathead County (406) 405-0521
WELLNESS COORDINATION SERVICES
Social Worker (Clinical)
903 SPOKANE AVE STE 4
WHITEFISH, MT 59937
Flathead County (406) 407-4215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glacier Functional Therapy's NPI number?

The NPI number for Glacier Functional Therapy is 1174320295. It was assigned to this organization in the NPPES registry on February 26, 2025. The provider is doing business as Northern Lights Functional Therapy.

Where is Glacier Functional Therapy located?

Glacier Functional Therapy is located at 903 Spokane Ave Ste 4, Whitefish, MT 59937. The listed phone number is (406) 282-4064.

What is Glacier Functional Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Glacier Functional Therapy was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.