Healthcare Provider Details

I. General information

NPI: 1740389071
Provider Name (Legal Business Name): HEALTH IN MOTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 15TH ST W
BILLINGS MT
59102-4101
US

IV. Provider business mailing address

777 15TH ST W
BILLINGS MT
59102-4101
US

V. Phone/Fax

Practice location:
  • Phone: 406-325-1701
  • Fax: 406-651-4332
Mailing address:
  • Phone: 406-325-1701
  • Fax: 406-651-4332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1099
License Number StateMT

VIII. Authorized Official

Name: DR. NICHOLAS R. SAMS
Title or Position: OWNER/OPERATOR
Credential: D.C.
Phone: 406-325-1701