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Organization
FLATHEAD PERFORMANCE TRAINING CENTER, LLC
Active
Organization
FLATHEAD PERFORMANCE TRAINING CENTER, LLC
Active
Other names
Flathead Performance Training
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DENNIS CAREY LAT, ATC (OWNER)
(406) 862-8250
Entity
Organization
Contact information
Practice address
2006 HOSPITAL WAY, WHITEFISH, MT 59937-7858
(406) 862-8250
(406) 862-9882
Mailing address
2006 HOSPITAL WAY, WHITEFISH, MT 59937-7858
(406) 862-8250
(406) 862-9882
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558536227
—
MT
Enumeration date
04/24/2008
Last updated
06/03/2009
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