Healthcare Provider Details

I. General information

NPI: 1811045917
Provider Name (Legal Business Name): VALLEY CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 HIGHWAY 93
ARLEE MT
59821
US

IV. Provider business mailing address

PO BOX 675
ARLEE MT
59821-0675
US

V. Phone/Fax

Practice location:
  • Phone: 406-726-3333
  • Fax:
Mailing address:
  • Phone: 406-726-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number769
License Number StateMT

VIII. Authorized Official

Name: JAMES CRAIG THORNTON
Title or Position: CEO
Credential: D.C.
Phone: 406-726-3333