IndividualActive
Casey Kickingwoman
NPI 1760379366 · Day Training/Habilitation Specialist · Missoula, MT
Provider details
- NPI number
- 1760379366
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
1333 Toole Ave Unit 32
Missoula, MT 59802-2349
Phone: (406) 381-1267
Mailing address
1333 Toole Ave Unit 32
Missoula, MT 59802-2349
Registry dates
- Enumerated
- 2025-06-18
- Last updated
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.