| Bagley Chiropractic Llc | |
|
1001 Oak St Ste 210, Bozeman, MT 59715-8757 | |
| (406) 587-8446 | |
| Not Available |
| Full Name | Bagley Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1001 Oak St Ste 210, Bozeman, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376021600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Jordan V Bagley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063916302 PECOS PAC ID: 1557617404 Enrollment ID: I20180706001119 |
| Provider Name | Tanner Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215465042 PECOS PAC ID: 5395013932 Enrollment ID: I20210806002916 |
| Mailing Address | Practice Location Address |
|---|---|
| Bagley Chiropractic Llc 1001 Oak St Ste 210, Bozeman, MT 59715-8757 Ph: () - | Bagley Chiropractic Llc 1001 Oak St Ste 210, Bozeman, MT 59715-8757 Ph: (406) 587-8446 |
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