Radiant Life Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RADIANT LIFE CHIROPRACTIC PLLC

Practice address

1361 Elm St Ste 3
Helena, MT 59601-0920

Phone

(406) 371-9499

NPI assigned

Nov 10, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rebecca Nicole Boleware, DC

Title

Owner

Phone

(682) 365-7872

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1144938820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AMETHYST AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596027838",
            "telephone_number": "682-365-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ELM ST STE 3",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596010920",
            "telephone_number": "406-371-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT LIFE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "BOLEWARE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-365-7872",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Vincent Quinn, D.D.S.
• Phillip Montgomery Quinn, LCPC
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• Mark Bryan Rabold, MD
• Sydney Marie Racht, DPT, CSCS
• Gdaylinda Q Radley, MA, CCC-SLP
• Madeleine Rafter
• Melissa Mary Rambo, LAC
• Kody Ramler, LCSW
• Joe Randall, RPH

• Chiropractor in Helena, MT
• Providers in Helena, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.