ACTIVATED LIFE CHIROPRACTIC AND WELLNESS PLLC (NPI# 1992360614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992360614 |
| Entity Type | Organization |
| Organization Name | ACTIVATED LIFE CHIROPRACTIC AND WELLNESS PLLC |
| Other Organization Name | ACTIVATED LIFE CHIROPRACTIC AND WELLNESS |
| Practice Address |
1301 12th Ave S Ste 203 Great Falls MT 59405-4600 |
| Practice Telephone | 4067703800 |
| Practice Fax Number | 4067703802 |
| Mailing Telephone | 4067703800 |
| Mailing Fax Number | 4067703802 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | DR. JUSTIN CURTIS STILSON (OWNER) |
| Authorized Official Telephone | 4067703800 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Activated Life Chiropractic and Wellness | Doing Business As Name - Organization |
| Street Address |
1301 12TH AVE S STE 203 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376007187 | Justin Curtis Stilson | Chiropractor | 1301 12th Ave S Ste 203, Great Falls, MT 59405-4600 | 2019-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164610937 | Maysept Inc | Clinic/Center | 3511 1st Ave N, Great Falls, MT 59401-3504 | 2007-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1306276035 | Lakeside Wellness PC | Clinic/Center | 77 Deer Cr Rd, Suite B, Somers, MT 59932 | 2013-11-15 |
| 1053628859 | Gabert Medical Services, Inc | Clinic/Center | 312 S Adams Ave, Terry, MT 59349-0156 | 2010-09-01 |
| 1154556058 | Garth Chiropractic, P.C. | Clinic/Center | 6475 Hwy 93 S Ste 56, Whitefish, MT 59937-8265 | 2009-05-20 |
| 1619113008 | Pfister Physical Therapy, PC | Clinic/Center | 144 2nd St E, Whitefish, MT 59937-2402 | 2009-01-06 |
| 1598810186 | Blackfoot Valley Medical Services Corporation | Clinic/Center | Highway 200 West, Lincoln, MT 59639 | 2007-01-24 |
| 1043229776 | Fallon Medical Complex Inc | Clinic/Center | 710 Drake Street, Wibaux, MT 59353 | 2006-08-05 |
| 1518902881 | Rose Osteopathic Clinic, Inc. | Clinic/Center | 54699 Hillside Rd, St Ignatius, MT 59865-8915 | 2006-06-19 |
| 1003869710 | Ims, LLC Dba Miles City Medical Clinic | Clinic/Center | 2000 Clark St, Miles City, MT 59301-2726 | 2006-05-17 |
| 1417425976 | Wright Choice, LLC | Clinic/Center | 601 W Villard St, Bozeman, MT 59715-3443 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on ACTIVATED LIFE CHIROPRACTIC AND WELLNESS PLLC.
| 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.