NPI 1235960378

Blue Goddess LLC

Organisation Prosthetic/Orthotic Supplier Kalispell, MT

Practice location

Address: 1001 S Main St STE 600, Kalispell, MT 59901-5635
Phone: (410) 989-7661

Authorised official

Name: Janaya Holmes
Title: President
Phone: (410) 989-7661

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Montana →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Montana →

Registry record

NPI: 1235960378
Entity type: Organization
NPI issued: 10 Aug 2024
Record last updated: 10 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.