| Water's Edge Chiropractic & Wellness Center, Inc. | |
|
2419 Mullan Rd, Suite A, Missoula, MT 59808-1827 | |
| (406) 543-1955 | |
| (406) 543-1506 |
| Full Name | Water's Edge Chiropractic & Wellness Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2419 Mullan Rd, Missoula, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164467486 | NPI | - | NPPES |
| 1871546556 | Other | MT | INDIVIDUAL NPI # |
| 0166270 | Medicaid | MT | |
| 0166260 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1047 (Montana) | Primary |
| Provider Name | Shane A Cutting |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871546556 PECOS PAC ID: 6901894708 Enrollment ID: I20040501000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Water's Edge Chiropractic & Wellness Center, Inc. 2419 Mullan Rd, Suite A, Missoula, MT 59808-1827 Ph: (406) 543-1955 | Water's Edge Chiropractic & Wellness Center, Inc. 2419 Mullan Rd, Suite A, Missoula, MT 59808-1827 Ph: (406) 543-1955 |
Clearwater Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 2330 South Higgins Ave, Suite 100, Missoula, MT 59801 Phone: 406-728-0330 Fax: 406-728-0330 | |
Dr. Thomas Raymond Taylor, Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2126 Dixon Ave, Missoula, MT 59801 Phone: 406-541-2225 | |
Dr. Nicholas Smith, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2801 Great Northern Loop Ste 120, Missoula, MT 59808 Phone: 518-588-4369 | |
Mr. Christopher Lee Moore, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1802 Dearborn Ave, Suite 101, Missoula, MT 59801 Phone: 406-728-5114 Fax: 406-728-8121 | |
Dr. Morgan Viscio, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2801 Great Northern Loop Ste 120, Missoula, MT 59808 Phone: 518-588-4369 | |
Dr. Troy Dion Doxey, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2330 S Higgins Ave Ste 100, Missoula, MT 59801 Phone: 406-728-0222 Fax: 406-728-0330 | |
Summit Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 1900 S Reserve St, Missoula, MT 59801 Phone: 406-549-0777 Fax: 406-721-9008 |