Provider Demographics
NPI:1417576315
Name:RANEY, BRADY SCOTT (DC)
Entity Type:Individual
Prefix:
First Name:BRADY
Middle Name:SCOTT
Last Name:RANEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 W PARK ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-2635
Mailing Address - Country:US
Mailing Address - Phone:406-222-6668
Mailing Address - Fax:406-222-0036
Practice Address - Street 1:403 W PARK ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-2635
Practice Address - Country:US
Practice Address - Phone:406-222-6668
Practice Address - Fax:406-222-0036
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT6173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor