DR. CASEY TRENT CORDIAL (NPI# 1992061410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992061410 |
| Entity Type | Individual |
| Full Name | DR. CASEY TRENT CORDIAL |
| Credential | DC |
| Practice Address |
701 W Spruce St Missoula MT 59802-3904 |
| Practice Telephone | 4067218858 |
| Practice Fax Number | 4065420960 |
| Mailing Telephone | 4067218858 |
| Mailing Fax Number | 4065420960 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHI-CHI-LIC-1835 | MT | Chiropractic Providers |
| Street Address |
701 W SPRUCE ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134952 | Tim J Cordial | Physical Therapist | 701 W Spruce St, Missoula, MT 59802-3904 | 2006-02-20 |
| 1912309592 | Maureen Cordial, Lmft, Lcpc, Pllc | Clinic/Center | 701 W Spruce St, Missoula, MT 59802-3904 | 2014-09-25 |
| 1194169789 | Maureen Cordial | Counselor | 701 W Spruce St, Missoula, MT 59802-3904 | 2013-04-25 |
| 1952674731 | Brittnea Lee Cordial | Massage Therapist | 701 W Spruce St, Missoula, MT 59802-3904 | 2012-02-09 |
| 1437331063 | Tim Cordial Pt PC | Clinic/Center | 701 W Spruce St, Missoula, MT 59802-3904 | 2007-12-05 |
| 1083801328 | Rory James Cordial | Physical Therapist | 701 W Spruce St, Missoula, MT 59802-3904 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| 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 |
|---|---|---|---|---|
| 1851496467 | Daniel R. Prideaux | Chiropractor | 1001 Sw Higgins Ave, Suite 102, Missoula, MT 59803-1341 | 2006-09-14 |
| 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 |
| 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 |
| 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 |
| 1831370378 | Stillwater Spine & Sports Center, Inc | Chiropractor | 80 Four Mile Dr, Suite 16, Kalispell, MT 59901-2665 | 2007-11-26 |
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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.