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STILLWATER SPINE & SPORTS CENTER INC. NPI 1831370378


NPI Information

NPI: 1831370378
Provider Name: STILLWATER SPINE & SPORTS CENTER, INC.
Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

CLIA Number: 27D2222998

Address:
3171 HWY 93 N
SUITE C
KALISPELL, MT
ZIP 59901
Phone: (406) 756-7634
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STILLWATER SPINE & SPORTS CENTER, INC. is a physical therapy clinic center in Kalispell, MT. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. STILLWATER SPINE & SPORTS CENTER, INC. NPI is 1831370378. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3171 HWY 93 N
SUITE C
KALISPELL, MT
ZIP 59901
Phone: (406) 756-7634
Fax: (406) 756-7643

The provider's authorized official is Tye K Leduc .
The authorized official title is President and has the following contact phone number (406) 756-7634.

The CLIA number assigned to this NPI record is 27D2222998 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 4/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports PhysicianNo
2111NS0005XChiropractorSports Physician1014MONTANANo
3175F00000XNaturopathNo
4261QP2000XClinic/CenterPhysical TherapyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000084625OTHERMONTANAMEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.