MEDICARE: TRUE POTENTIAL CHIROPRACTIC

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	:	1801558663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE POTENTIAL CHIROPRACTIC

Provider Business Mailing Address
First Line	:	2165 9TH ST W UNIT 3
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-4561
Country	:	US
Telephone Number	:	406-897-5505
Fax Number	:

Provider Business Practice Location Address
First Line	:	2165 9TH ST W UNIT 3
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-4561
Country	:	US
Telephone Number	:	406-897-5505
Fax Number	:	406-897-5510

Authorized Official
Title or Position	:	RECEPTIONIST
Name	:	ANGELA REEVES
Credential	:
Telephone Number	:	406-249-7107

Provider Enumeration Date	:	10/08/2021
Last Update Date	:	11/01/2021

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Directions to “TRUE POTENTIAL CHIROPRACTIC ” Practice Location

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