NPI 1952797243

Momentum Prosthetic Clinic LLC

Organisation Prosthetic/Orthotic Supplier Missoula, MT

Practice location

Address: 3817 Stephens Ave STE 2, Missoula, MT 59801-8542
Phone: (406) 926-1321
Fax: (406) 926-1327
Mailing address: 3817 Stephens Ave STE 2, Missoula, MT 59801-8505

Authorised official

Name: Clifford Henry Creekmore
Title: Practitioner/Managing Member
Phone: (406) 529-0474

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 2015-MSS-GEN-00092 (MT)

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Registry record

NPI: 1952797243
Entity type: Organization
NPI issued: 13 Apr 2015
Record last updated: 2 Mar 2022

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.