Individual provider · Type 1 NPI
Peter Lorne Conrad Hicks, DC
Chiropractor · Missoula, MT
NPI number
1336309731
Active
Practice location
2300 Great Northern Ave, Suite B
Missoula, MT 59808-1678
Fax (406) 549-6868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1207 (MT) |
| Chiropractor | 111N00000X | 1142 (MS) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1336309731
Peter Lorne Conrad Hicks, DC's National Provider Identifier is 1336309731, issued on Jun 10, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Missoula, MT. The record was last updated on Sep 22, 2014.