OrganizationActive
Blue Goddess LLC
NPI 1235960378 · Prosthetic/Orthotic Supplier · Kalispell, MT
Provider details
- NPI number
- 1235960378
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Janaya Holmes, President(410) 989-7661
Specialties & taxonomies
Suppliers
Suppliers
Practice location
1001 S Main St Ste 600
Kalispell, MT 59901-5635
Phone: (410) 989-7661
Approximate (ZIP-level) locationGet directions
Mailing address
1001 S Main St Ste 600
Kalispell, MT 59901-5635
Registry dates
- Enumerated
- 2024-08-10
- Last updated
- 2024-08-10
- Certified
- 2024-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.