MEDICARE: DR. MELISSA FAITH DAVIS EMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146N00000X	Basic Emergency Medical Technician	159441	MT

General Provider Information

NPI Number	:	1366393068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA FAITH DAVIS EMT

Provider Business Mailing Address
First Line	:	20925 SPOTTED FAWN RD
Second Line	:
City	:	HUSON
State	:	MT
Zip	:	59846-9501
Country	:	US
Telephone Number	:	714-612-3657
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 THREE MILE DR
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-6433
Country	:	US
Telephone Number	:	140-675-2860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2026
Last Update Date	:	02/07/2026

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