STILLWATER SPINE & SPORTS CENTER, INC (NPI# 1831370378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831370378 |
Entity Type | Organization |
Organization Name | STILLWATER SPINE & SPORTS CENTER, INC |
Practice Address |
80 Four Mile Dr Suite 16 Kalispell MT 59901-2665 |
Practice Telephone | 4067567634 |
Mailing Telephone | 4067567634 |
Enumeration Date | 2007-11-26 |
Last Update Date | 2007-11-26 |
Authorized Official Name | DR. TYE KENNETH LEDUC (PRESIDENT) |
Authorized Official Telephone | 4067567634 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1014 | MT | Chiropractic Providers |
Street Address |
80 FOUR MILE DR SUITE 16 |
City | KALISPELL |
State | MT |
Zip Code | 59901-2665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285648964 | Tye Kenneth Leduc | Chiropractor | 80 Four Mile Dr, Suite 16, Kalispell, MT 59901-2665 | 2006-07-28 |
1639506645 | John James Ogden | Student in an Organized Health Care Education/Training Program | 80 Four Mile Dr, Suite 16, Kalispell, MT 59901-2665 | 2013-10-04 |
1154582401 | Erin A Moseley | Dentist | 80 Four Mile Dr, #15, Kalispell, MT 59901-2665 | 2008-06-19 |
1407029325 | Tommy D Warden | Chiropractor | 80 Four Mile Dr, Suite 16, Kalispell, MT 59901-2665 | 2008-04-11 |
1578744660 | Emily J Porterfield | Nutritionist | 80 Four Mile Dr, Suite 16, Kalispell, MT 59901-2665 | 2007-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
Find all providers in zip 59901 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003243346 | Gina Marie Wade | Chiropractor | 4 1st St E Ste 100, Kalispell, MT 59901-4554 | 2013-10-01 |
1841345717 | James John Mckiernan | Chiropractor | 1031 S Main St, Kalispell, MT 59901-5635 | 2007-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740800382 | Pursuit Chiropractic LLC | Chiropractor | 110 N Montana St, Dillon, MT 59725-3308 | 2020-04-23 |
1063916302 | Jordan Bagley | Chiropractor | 338 N Ewing St, Helena, MT 59601-4050 | 2018-03-21 |
1528479417 | Kenkou | Chiropractor | 1726 Sylvan Ln, Billings, MT 59105-3816 | 2014-05-13 |
1225449259 | Brian Bushman | Chiropractor | 895 Main St Ste 4, Billings, MT 59105-3320 | 2014-05-13 |
1982758579 | Amy A Pezo | Chiropractor | 1617 Euclid Ave Ste 5, Helena, MT 59601-2048 | 2007-01-22 |
1265597348 | Jeff Saad | Chiropractor | 2815 Aspen Drive, 6, Big Sky, MT 59716 | 2006-12-27 |
1851496467 | Daniel R. Prideaux | Chiropractor | 1001 Sw Higgins Ave, Suite 102, Missoula, MT 59803-1341 | 2006-09-14 |
1992061410 | Casey Trent Cordial | Chiropractor | 701 W Spruce St, Missoula, MT 59802-3904 | 2012-04-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.