NPI 1740438696

Recreate Mastectomy Products & Boutique

Organisation Prosthetic/Orthotic Supplier Missoula, MT

Practice location

Address: 116 South Ave W, Missoula, MT 59801-8116
Phone: (406) 721-4242

Authorised official

Name: Karen J Williams
Title: Treasurer
Phone: (406) 549-0921

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Montana →

Registry record

NPI: 1740438696
Entity type: Organization
NPI issued: 4 Sep 2008
Record last updated: 24 Jul 2009

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.