MR. ALAN DALE KEITHLEY (NPI# 1952584369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952584369 |
| Entity Type | Individual |
| Full Name | MR. ALAN DALE KEITHLEY |
| Credential | D.C. |
| Practice Address |
715 Kensington Ste 24a Missoula MT 59801-5700 |
| Practice Telephone | 4065419150 |
| Practice Fax Number | 4068303857 |
| Mailing Telephone | 4065419150 |
| Mailing Fax Number | 4068303857 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2014-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1043 | MT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | UPIN | U94196 | 01 |
| Street Address |
715 KENSINGTON STE 24A |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277024 | Morgan Kumpula | Chiropractor | 235 N 1st St W Ste A, Missoula, MT 59802-3661 | 2020-08-25 |
| 1588288583 | Tyler Torkelson | Chiropractor | 515 S Reserve St Ste 3, Missoula, MT 59801-2125 | 2020-06-04 |
| 1821553421 | Elevating Health Chiropractic Pllc | Chiropractor | 101 E Broadway St Ste 203, Missoula, MT 59802-4510 | 2019-02-07 |
| 1467818005 | Forrest Lumpry | Chiropractor | 7680 Stegner Dr, Missoula, MT 59808-1257 | 2016-01-12 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1184989972 | Chiropractic Works Inc. | Chiropractor | 2330 S Higgins Ave, Suite 100, Missoula, MT 59801-6923 | 2012-07-09 |
| 1861759011 | Dr. Pete Chiropractic PC | Chiropractor | 1831 S 3rd St W, Missoula, MT 59801-2243 | 2012-04-12 |
| 1659644144 | Optimum Health and Wellness, Pllc | Chiropractor | 3000 American Way, Missoula, MT 59808-1677 | 2012-02-15 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1154601334 | Clint Cordial | Chiropractor | 701 W. Spruce, Missoula, MT 59802 | 2011-08-19 |
| Find all providers in MISSOULA | ||||
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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.