Healthcare Provider Details

I. General information

NPI: 1033164967
Provider Name (Legal Business Name): JAZPER ETHAN TORRES N.D., D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ETHAN TORRES N.D., D.C.

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 652
BIGFORK MT
59911-0652
US

IV. Provider business mailing address

PO BOX 652
BIGFORK MT
59911-0652
US

V. Phone/Fax

Practice location:
  • Phone: 406-261-4095
  • Fax:
Mailing address:
  • Phone: 406-261-4095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHI-CHI-LIC-5593
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60463323
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number14243995-7100
License Number StateUT
# 4
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberAHC-NAT-LIC-1794
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: