Healthcare Provider Details

I. General information

NPI: 1558489658
Provider Name (Legal Business Name): BUTLER CHIROPRACTIC HEALTH CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 DEARBORN AVE. SUITE 101
MISSOULA MT
59801-7706
US

IV. Provider business mailing address

1802 DEARBORN AVE STE 101
MISSOULA MT
59801-7741
US

V. Phone/Fax

Practice location:
  • Phone: 406-728-5114
  • Fax:
Mailing address:
  • Phone: 406-728-5114
  • Fax: 406-728-8121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DON R BUTLER
Title or Position: PRESIDENT
Credential:
Phone: 406-728-5114