NPI 1215649256

Harrison Randall Faulk, LATATCPES

Practitioner Athletic Trainer Great Falls, MT

Practice location

Address: 228 17th Ave NW, Great Falls, MT 59404-1807
Phone: (406) 268-6100

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence ATR-LAT-LIC-2685 (MT)

Other Specialist/Technologist providers in Montana →

Registry record

NPI: 1215649256
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2022
Record last updated: 21 Dec 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.