| NPI | 1104094317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH M JACOBSEN Audiologist 406-761-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MT AU 1077) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MT HAD 227) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MT AU 1077) | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2011-12-15 |