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

Harrison Randall Faulk, LAT, ATC, PES

Individual provider Athletic Trainer · NPI 1215649256

Harrison Randall Faulk, LAT, ATC, PES is an Athletic Trainer in Great Falls, Montana. Licensed in Montana. Registered with an NPI since 2022.

Licensed in
MT
In the registry since
2022
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

228 17th Ave NW
Great Falls, MT 59404-1807
Phone: (406) 268-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATR-LAT-LIC-2685 (MT)

Record details

NPI number1215649256
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC , PES
Sole proprietorNo
NPI enumeratedDecember 21, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

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