NPI 1174814404

Randy Rosenquist, CPO

Practitioner Prosthetist Missoula, MT

Practice location

Address: 2145 South Ave W, Missoula, MT 59801-6503
Phone: (406) 327-9200
Fax: (406) 327-0653
Mailing address: 1700 N Chrisman Rd, Tracy, CA 95304-9314

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1174814404
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2011
Record last updated: 10 Jan 2012

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.