Healthcare Provider Details
I. General information
NPI: 1740386390
Provider Name (Legal Business Name): HEALTH IN MOTION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 27TH ST W SUITE C1
BILLINGS MT
59102-8601
US
IV. Provider business mailing address
50 27TH ST W SUITE C1
BILLINGS MT
59102-8601
US
V. Phone/Fax
- Phone: 406-325-1701
- Fax: 406-656-0651
- Phone: 406-325-1701
- Fax: 406-656-0651
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 1099 |
| License Number State | MT |
VIII. Authorized Official
Name: DR.
NICHOLAS
R
SAMS
Title or Position: OWNER OPERATOR
Credential: D.C.
Phone: 406-325-1701