MEDICARE: MORRELL SPINE & SPORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1730943945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORRELL SPINE & SPORT

Provider Business Mailing Address
First Line	:	681 GREEN TREE DR
Second Line	:
City	:	BELGRADE
State	:	MT
Zip	:	59714-9260
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 N 19TH AVE STE B
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-3920
Country	:	US
Telephone Number	:	406-586-0275
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. ERIK MORRELL
Credential	:	DC
Telephone Number	:	701-471-4223

Provider Enumeration Date	:	02/08/2024
Last Update Date	:	06/24/2024

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Directions to “MORRELL SPINE & SPORT ” Practice Location

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