Healthcare Provider Details
I. General information
NPI: 1003779752
Provider Name (Legal Business Name): MID-VALLEY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3946 US HIGHWAY 93 N
STEVENSVILLE MT
59870-6425
US
IV. Provider business mailing address
3946 US HIGHWAY 93 N
STEVENSVILLE MT
59870-6425
US
V. Phone/Fax
- Phone: 406-777-5630
- Fax: 406-777-0061
- Phone: 406-777-5630
- Fax: 406-777-0061
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
L
HARDIN
Title or Position: OWNER
Credential: DC
Phone: 936-245-7539