| NPI | 1124445770 |
|---|---|
| Doing Business As | THE ATHLETE'S FOOT |
| Entity Type | Organization |
| Authorized Contact | JAY J JOHANSEN Owner / Operator 406-655-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |