Healthcare Provider Details

I. General information

NPI: 1659389906
Provider Name (Legal Business Name): TOTAL HEALTH CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 N MERIDIAN RD SUITE 105
KALISPELL MT
59901-3586
US

IV. Provider business mailing address

690 N MERIDIAN RD SUITE 105
KALISPELL MT
59901-3586
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-7289
  • Fax: 406-752-8679
Mailing address:
  • Phone: 406-752-7289
  • Fax: 406-752-8679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number841CHI
License Number StateMT

VIII. Authorized Official

Name: DR. RICHARD W PUCHTA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 406-752-7289