Provider Demographics
NPI:1699563221
Name:EVANS, RYAN GLENN (DC)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:GLENN
Last Name:EVANS
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3320
Mailing Address - Country:US
Mailing Address - Phone:406-248-3774
Mailing Address - Fax:406-294-6701
Practice Address - Street 1:895 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-3320
Practice Address - Country:US
Practice Address - Phone:406-248-3774
Practice Address - Fax:406-294-6701
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-9402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor