Search › Montana › 363A00000X
Lisa Hathaway, PA-C, RD
NPI 1578152427 · on the registry since 2021
Practice
- Address
- 2819 Great Northern Loop Ste 100
Missoula, MT 59808 - Phone
- (406) 282-3495
- Organisation at this address
- Providence Health & Services Mt
Great Divide Physical Therapy Llc
Missoula Surgical Associates, Pllc
Pathology Associates Medical Laboratories, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 445 W Alder St, Missoula, MT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
133V00000X - Licence states on file
- MT, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana