Provider Demographics
NPI:1356679732
Name:TAYLOR D SPINES FAMILY WELLNESS CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:TAYLOR D SPINES FAMILY WELLNESS CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CADE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-485-3551
Mailing Address - Street 1:200 HIGHWAY 2 EAST
Mailing Address - Street 2:SUITE C
Mailing Address - City:WOLF POINT
Mailing Address - State:MT
Mailing Address - Zip Code:59215-0462
Mailing Address - Country:US
Mailing Address - Phone:406-653-3600
Mailing Address - Fax:
Practice Address - Street 1:200 HIGHWAY 2 EAST
Practice Address - Street 2:SUITE C
Practice Address - City:WOLF POINT
Practice Address - State:MT
Practice Address - Zip Code:59215-0462
Practice Address - Country:US
Practice Address - Phone:406-653-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty