STILLWATER SPINE & SPORTS CENTER, INC


Address: 80 Four Mile Dr, Suite 16, Kalispell, MT 59901-2665
Phone: 4067567634

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
1014 MT Chiropractic Providers

Office Location

Street Address 80 FOUR MILE DR
SUITE 16
City KALISPELL
State MT
Zip Code 59901-2665

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City KALISPELL
Zip Code 59901

Improve Information

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Dataset Information

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.

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