Healthcare Provider Details

I. General information

NPI: 1740800382
Provider Name (Legal Business Name): PURSUIT CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N MONTANA ST
DILLON MT
59725-3308
US

IV. Provider business mailing address

110 N MONTANA ST
DILLON MT
59725-3308
US

V. Phone/Fax

Practice location:
  • Phone: 406-570-6368
  • Fax:
Mailing address:
  • Phone: 406-570-6368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY E FEENSTRA
Title or Position: OWNER
Credential: DC
Phone: 406-570-6368