Healthcare Provider Details

I. General information

NPI: 1831014794
Provider Name (Legal Business Name): OLIVIA GRACE GILMAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 MERIDIAN CT UNIT A
KALISPELL MT
59901-4252
US

IV. Provider business mailing address

21 MERIDIAN CT UNIT A
KALISPELL MT
59901-4252
US

V. Phone/Fax

Practice location:
  • Phone: 406-260-9626
  • Fax: 406-309-6242
Mailing address:
  • Phone: 406-260-9626
  • Fax: 406-309-6242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHI-CHI-LIC-10133
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: