Provider Demographics
NPI:1801558663
Name:TRUE POTENTIAL CHIROPRACTIC
Entity type:Organization
Organization Name:TRUE POTENTIAL CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECEPTIONIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-249-7107
Mailing Address - Street 1:2165 9TH ST W UNIT 3
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-4561
Mailing Address - Country:US
Mailing Address - Phone:406-897-5505
Mailing Address - Fax:
Practice Address - Street 1:2165 9TH ST W UNIT 3
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912-4561
Practice Address - Country:US
Practice Address - Phone:406-897-5505
Practice Address - Fax:406-897-5510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-08
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty