Harrison Randall Faulk, LAT, ATC, PES

NPI #1215649256 in Great Falls, Montana

Provider Information

NPI Number
1215649256
Entity Type
Individual
Name
Harrison Randall Faulk, LAT, ATC, PES
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC, PES
Enumeration Date
Dec 21, 2022
Last Updated
Dec 21, 2022

Practice Location

Address
228 17TH AVE NW
State
Montana
ZIP Code
59404-1807
Phone
(406) 268-6100

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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