Healthcare Provider Details

I. General information

NPI: 1194642132
Provider Name (Legal Business Name): CASSANDRA JO WINTERROWD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 NORTHWEST BYP
GREAT FALLS MT
59404-4124
US

IV. Provider business mailing address

401 NORTHWEST BYP
GREAT FALLS MT
59404-4124
US

V. Phone/Fax

Practice location:
  • Phone: 406-770-6002
  • Fax:
Mailing address:
  • Phone: 406-770-6002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAD-HAD-LIC-1822
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: