Individual provider · Type 1 NPI

Glen Maricelli, DC

Chiropractor · Missoula, MT

NPI number 1790368645 Active

Practice location

2330 S Higgins Ave Ste 100
Missoula, MT 59801-6923

Call (406) 728-0222 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHI-CHI-LIC-6766 (MT)

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 1790368645

Glen Maricelli, DC's National Provider Identifier is 1790368645, issued on Apr 29, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Missoula, MT. The record was last updated on Apr 29, 2021.