| NPI | 1700356417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANT R CHRISTENSEN Owner 307-426-4327 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner |
| 2355A2700X Specialist/Technologist Audiology Assistant | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2020-11-16 |