| NPI | 1588108286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIA MOORE Owner 406-253-6752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MT AuD795) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MT AuD795) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: MT AuD795) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: MT AuD795) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MT HAD4054) | |
| 237700000X Hearing Instrument Specialist (Licence: MT HAD387) | |
| 237700000X Hearing Instrument Specialist (Licence: MT HAD1291) | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |