Healthcare Provider Details

I. General information

NPI: 1083163257
Provider Name (Legal Business Name): CAITLIN ELIZABETH WALTER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2016
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 12TH AVE S
GREAT FALLS MT
59405-4607
US

IV. Provider business mailing address

1308 12TH AVE S
GREAT FALLS MT
59405-4607
US

V. Phone/Fax

Practice location:
  • Phone: 406-453-8885
  • Fax:
Mailing address:
  • Phone: 316-648-3980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHI-CHI-LIC-4484
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: