Recreate Mastectomy Products & Boutique
Prosthetic/Orthotic Supplier in Missoula, MT. Organization (NPI-2).
NPI number1740438696
StatusActive
Last updated in NPPESJul 24, 2009
Details
- NPI
- 1740438696
- Entity type
- Organization (NPI-2)
- Legal business name
- Recreate Mastectomy Products & Boutique
- Organization subpart
- Yes
- Enumeration date
- Sep 4, 2008
- Last updated
- Jul 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Other names
- Recreate Mastectomy Products & Boutique (Doing Business As)
Practice location
116 South Ave WMissoula, MT 59801-8116
Phone 406-721-4242
Mailing address
116 South Ave WMissoula, MT 59801-8116
Phone 406-721-4242
Authorized official
Karen J Williams
Treasurer
4065490921
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Other Prosthetic/Orthotic Supplier providers in Missoula, MT
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- Western Montana Orthotics & Prosthetics, P.C.NPI 1194771881
All 6 Prosthetic/Orthotic Supplier providers in Missoula · All 4,716 providers in Missoula
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