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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