| Stillwater Spine & Sports Center, Inc. | |
|
3171 Hwy 93 N, Suite C, Kalispell, MT 59901 | |
| (406) 756-7634 | |
| (406) 756-7643 |
| Full Name | Stillwater Spine & Sports Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 3171 Hwy 93 N, Kalispell, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831370378 | NPI | - | NPPES |
| 000084625 | Other | MT | MEDICARE GROUP |
| Provider Name | Tye K Le Duc |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285648964 PECOS PAC ID: 1759272230 Enrollment ID: I20050509000333 |
| Provider Name | Tommy D Warden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407029325 PECOS PAC ID: 0042399180 Enrollment ID: I20080430000872 |
| Provider Name | John J Ogden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639506645 PECOS PAC ID: 7911136122 Enrollment ID: I20140211001387 |
| Provider Name | Jennifer Rose Gauthier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518333764 PECOS PAC ID: 9638489719 Enrollment ID: I20151102000550 |
| Provider Name | Jazper Ethan Torres |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033164967 PECOS PAC ID: 5799797734 Enrollment ID: I20190502001751 |
| Provider Name | Zachary H Weijohn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528578119 PECOS PAC ID: 4587077003 Enrollment ID: I20201230001188 |
| Provider Name | Shelton Grey Todd |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689383739 PECOS PAC ID: 9133599699 Enrollment ID: I20221228001929 |
| Provider Name | Jason Hirtzel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871065946 PECOS PAC ID: 5799132460 Enrollment ID: I20231117001187 |
| Provider Name | Levin L Strand |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083427975 PECOS PAC ID: 9739619495 Enrollment ID: I20250210003311 |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Spine & Sports Center, Inc. 3171 Hwy 93 N, Suite C, Kalispell, MT 59901 Ph: (406) 756-7634 | Stillwater Spine & Sports Center, Inc. 3171 Hwy 93 N, Suite C, Kalispell, MT 59901 Ph: (406) 756-7634 |