NPI 1548907033
Jackson Storm, ASCMCEP
Practice location
- Address
- 701 River Dr S Unit 4/5, Great Falls, MT 59405-1856
- Phone
- (406) 217-6770
- Mailing address
- 2908 3rd Ave S, Great Falls, MT 59405-3112
Registered specialties
Clinical Exercise Physiologist
Primary
Registry record
- NPI
- 1548907033
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 May 2022
- Record last updated
- 16 May 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.