Provider Demographics
NPI:1194471227
Name:FREE REIN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FREE REIN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-660-5674
Mailing Address - Street 1:1002 BLUE GROUSE DR
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-7667
Mailing Address - Country:US
Mailing Address - Phone:805-660-5674
Mailing Address - Fax:
Practice Address - Street 1:135 HUTTON RANCH RD STE 102
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2141
Practice Address - Country:US
Practice Address - Phone:406-890-6989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty