OrganizationActive
Recreate Mastectomy Products & Boutique
NPI 1740438696 · Prosthetic/Orthotic Supplier · Missoula, MT
Provider details
- NPI number
- 1740438696
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Missoula Orthotics & Prosthetics Laboratory, Inc.
- Organization subpart
- Yes
- Authorized official
- Karen Williams, Treasurer(406) 549-0921
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
116 South Ave W
Missoula, MT 59801-8116
Phone: (406) 721-4242
Street-level locationGet directions
Mailing address
116 South Ave W
Missoula, MT 59801-8116
Other names (DBA / former)
- Doing business as
- Recreate Mastectomy Products & Boutique
Registry dates
- Enumerated
- 2008-09-04
- Last updated
- 2009-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.