HARRISON RANDALL FAULK

GREAT FALLS, MT
NPI1215649256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MT  ATR-LAT-LIC-2685)
Enumeration Date2022-12-21
Last Update Date2022-12-21
Business Address
HARRISON RANDALL FAULK LAT, ATC, PES
228 17TH AVE NW
GREAT FALLS, MT 59404-1807
Phone number: 406-268-6100
Mailing Address
HARRISON RANDALL FAULK LAT, ATC, PES
228 17TH AVE NW
GREAT FALLS, MT 59404-1807
Phone number: 406-268-6100