Organization
THE,SHOE INC.
Active
Other names
The Athlete's Foot
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY J JOHANSEN (OWNER / OPERATOR)
(406) 655-3668
Entity
Organization
Contact information
Practice address
3839 GRAND AVE, BILLINGS, MT 59102-7650
(406) 655-3668
(406) 655-3668
Mailing address
3839 GRAND AVE, BILLINGS, MT 59102-7650
(406) 655-3668
(406) 655-3668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MT
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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