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Organization
FORGED WELLNESS & CO
Active
Organization
FORGED WELLNESS & CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN RACICOT PA-C (CO-OWNER)
(503) 347-1805
Entity
Organization
Contact information
Practice address
3300 RASER DR, MISSOULA, MT 59808-1534
(406) 213-6484
Mailing address
3300 RASER DR, MISSOULA, MT 59808-1534
(406) 213-6484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
07/26/2026
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