Provider Demographics
NPI:1215714316
Name:WINDAUER, JOSIE RAE
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:RAE
Last Name:WINDAUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-9291
Mailing Address - Country:US
Mailing Address - Phone:406-218-8601
Mailing Address - Fax:
Practice Address - Street 1:357 ROBERTS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912-9291
Practice Address - Country:US
Practice Address - Phone:406-218-8601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer