Stillwater Spine & Sports Center, Inc. | |
3171 Hwy 93 N, Suite C, Kalispell, MT 59901 | |
(406) 756-7634 | |
(406) 756-7643 |
Full Name | Stillwater Spine & Sports Center, Inc. |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 3171 Hwy 93 N, Kalispell, Montana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831370378 | NPI | - | NPPES |
000084625 | Other | MT | MEDICARE GROUP |
Provider Name | Tye K Le Duc |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1285648964 PECOS PAC ID: 1759272230 Enrollment ID: I20050509000333 |
Provider Name | Tommy D Warden |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407029325 PECOS PAC ID: 0042399180 Enrollment ID: I20080430000872 |
Provider Name | John J Ogden |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639506645 PECOS PAC ID: 7911136122 Enrollment ID: I20140211001387 |
Provider Name | Jennifer Rose Gauthier |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518333764 PECOS PAC ID: 9638489719 Enrollment ID: I20151102000550 |
Provider Name | Jazper Ethan Torres |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033164967 PECOS PAC ID: 5799797734 Enrollment ID: I20190502001751 |
Provider Name | Zachary H Weijohn |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528578119 PECOS PAC ID: 4587077003 Enrollment ID: I20201230001188 |
Provider Name | Shelton G Todd |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1689383739 PECOS PAC ID: 9133599699 Enrollment ID: I20221228001929 |
Provider Name | Jason Hirtzel |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871065946 PECOS PAC ID: 5799132460 Enrollment ID: I20231117001187 |
Mailing Address | Practice Location Address |
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Stillwater Spine & Sports Center, Inc. 3171 Hwy 93 N, Suite C, Kalispell, MT 59901 Ph: (406) 756-7634 | Stillwater Spine & Sports Center, Inc. 3171 Hwy 93 N, Suite C, Kalispell, MT 59901 Ph: (406) 756-7634 |