Back and Neck Clinic of Great Falls, P.C.
Organization Active NPI Chiropractor · Great Falls, MT
NPI 1043496755 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1043496755
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 941 (MT)
- Legal business name
- BACK AND NECK CLINIC OF GREAT FALLS, P.C.
- Practice address
- 205 9TH Ave S
Suite 105
Great Falls, MT 59405-4071 - Phone
- (406) 771-8431
- Fax
- (406) 771-8432
- NPI assigned
- Jan 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Kevin Charles Otheim, D.C.
- Title
- President
- Phone
- (406) 771-8431
National Provider Directory
Locations
18 6th St N
Ste 201
Great Falls, MT 59401
Phone (406) 771-8431
1201 Central Ave
Ste 2
Great Falls, MT 59401
Phone (406) 771-8431
205 9th Ave S
Ste 105
Great Falls, MT 59405
Phone (406) 771-8431
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 941 | MT | Yes |
Addresses
Primary practice location
205 9TH Ave S
Suite 105
Great Falls, MT 59405-4071
Mailing address
205 9TH Ave S
Suite 105
Great Falls, MT 59405-4071
Phone (406) 771-8431
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.