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NPI Code Detail

MEDICARE: AMANDA LYNN HARBAUGH CRT

MEDICARE: AMANDA LYNN HARBAUGH CRT
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
1227800000XCertified Respiratory TherapistRCP-RCP-LIC-1796MT

General Provider Information

NPI Number : 1710822796
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LYNN HARBAUGH CRT
Provider Business Mailing Address
First Line : 1301 E BROADWAY ST
Second Line :
City : MISSOULA
State : MT
Zip : 59802-4905
Country : US
Telephone Number : 406-721-0680
Fax Number : 406-721-9788
Provider Business Practice Location Address
First Line : 1301 E BROADWAY ST
Second Line :
City : MISSOULA
State : MT
Zip : 59802-4905
Country : US
Telephone Number : 406-721-0680
Fax Number : 406-721-9788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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