Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Recreate Mastectomy Products & Boutique

Organization Prosthetic/Orthotic Supplier · NPI 1740438696

Recreate Mastectomy Products & Boutique is a Prosthetic/Orthotic Supplier in Missoula, Montana. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

116 S Ave W
Missoula, MT 59801-8116
Phone: (406) 721-4242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1740438696
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMissoula Orthotics & Prosthetics Laboratory, Inc
Authorized official Karen Williams — Treasurer · (406) 549-0921
Other names Recreate Mastectomy Products & Boutique
NPI enumeratedSeptember 4, 2008
Last updated in NPPESJuly 24, 2009
Mailing address116 South Ave W, Missoula, MT 59801-8116

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