Active NPI
Donald Tudahl
- Athletic Trainer
- Kalispell, MT
National Provider Identifier
1891222113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 612763
- Practice address
- 1013 7TH Ave W
Kalispell, MT 59901-5562 - Phone
- (406) 270-0841
- NPI assigned
- May 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 612763 | Primary |
Addresses
Primary practice location
1013 7TH Ave W
Kalispell, MT 59901-5562
Mailing address
1013 7TH Ave W
Kalispell, MT 59901-5562
Phone (406) 270-0841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1891222113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 7TH AVE W",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599015562",
"telephone_number": "406-270-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 7TH AVE W",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599015562",
"telephone_number": "406-270-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUDAHL",
"first_name": "DONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "612763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
- Lynn R. Troy, N.D.
- True North Psychiatric Solutions PLLC
- True Value Products LLC
- Truenorth Upper Extremity and Orthopedic Specialists, LLC
- Kyle J Tubbs, M.D.
- Colleen Mary Turk, MS, LCPC
- Brandilyn Alison Turner, LMT
- Madalyn Rose Turner, MS
- Two Rivers Center for Holistic Counseling and Healing Artz
- Patricia Y Tygrett-Sue, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.