RECREATE MASTECTOMY PRODUCTS & BOUTIQUE
NPI 1740438696
Prosthetic/Orthotic Supplier in Missoula, MT

Q: What is Recreate Mastectomy Products & Boutique's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since September 04, 2008

116 SOUTH AVE W, MISSOULA, MT 59801(406) 721-4242 Get Directions Write a Review

NPPES record last updated: July 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Recreate Mastectomy Products & Boutique NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RECREATE MASTECTOMY PRODUCTS & BOUTIQUE (NPI 1740438696) is a healthcare organization registered as a prosthetic/orthotic supplier in Missoula, Montana and active in the NPI registry since September 2008. The organization lists Karen J Williams, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1740438696

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameRECREATE MASTECTOMY PRODUCTS & BOUTIQUE

Location Address116 SOUTH AVE WMissoula, MT 59801-8116

Mailing Address116 South Ave WMissoula, MT 59801-8116 · (406) 721-4242

Phone(406) 721-4242

Organization SubpartYesParent: Missoula Orthotics & Prosthetics Laboratory, Inc.

Authorized OfficialKaren J WilliamsTreasurer · (406) 549-0921

Enumeration DateSeptember 4, 2008

Last NPPES UpdateJuly 24, 2009

✔ NPI 1740438696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

116 SOUTH AVE W, Missoula, MT 59801

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Other Names 1

Doing Business AsRecreate Mastectomy Products & Boutique

Other Identifiers 1

Medicare NSC0287610002MT

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Recreate Mastectomy Products & Boutique's NPI number?

The NPI number for Recreate Mastectomy Products & Boutique is 1740438696. It was assigned to this organization in the NPPES registry on September 4, 2008.

Where is Recreate Mastectomy Products & Boutique located?

Recreate Mastectomy Products & Boutique is located at 116 South Ave W, Missoula, MT 59801. The listed phone number is (406) 721-4242.

What is Recreate Mastectomy Products & Boutique's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Recreate Mastectomy Products & Boutique was last updated on July 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.