Healthcare Provider Details

I. General information

NPI: 1538893334
Provider Name (Legal Business Name): COURTNEY KASIN MANN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 HERITAGE WAY STE 201
KALISPELL MT
59901-3105
US

IV. Provider business mailing address

160 HERITAGE WAY STE 201
KALISPELL MT
59901-3105
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-1014
  • Fax: 406-756-1379
Mailing address:
  • Phone: 406-752-1014
  • Fax: 406-756-1379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number13772
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number13772
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number13772
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberSLP-AU-LIC-13772
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number13772
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: