Organization
MONTANA SPINE AND NEURODEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA WATHAN DC (PRESIDENT)
(406) 890-2214
Entity
Organization
Contact information
Practice address
2593 HWY 2 EAST SUITE 1, KALISPELL, MT 59901
(406) 890-2214
Mailing address
2593 US HIGHWAY 2 E STE 1, KALISPELL, MT 59901-9507
(406) 890-2214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
01/07/2022
Last updated
01/02/2023
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