Healthcare Provider Details

I. General information

NPI: 1033063060
Provider Name (Legal Business Name): HEADWATERS CHIROPRACTIC & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1185 FREMONT ST STE 7
BOZEMAN MT
59718-2657
US

IV. Provider business mailing address

1185 FREMONT ST STE 7
BOZEMAN MT
59718-2657
US

V. Phone/Fax

Practice location:
  • Phone: 507-210-1227
  • Fax:
Mailing address:
  • Phone: 507-210-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MORGAN KAYE WATERSTRAAT WOODS
Title or Position: OWNER/MANAGER
Credential: DC
Phone: 507-210-1227