Provider Demographics
NPI:1497832570
Name:TERRITO CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:TERRITO CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:WALTERS-TERRITO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-752-2282
Mailing Address - Street 1:2640 HWY 2 EAST
Mailing Address - Street 2:SUITE B
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901
Mailing Address - Country:US
Mailing Address - Phone:406-752-2282
Mailing Address - Fax:406-752-2282
Practice Address - Street 1:2640 HWY 2 EAST
Practice Address - Street 2:SUITE B
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-752-2282
Practice Address - Fax:406-752-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty