1. Home
  2. Directory
  3. Montana
  4. Missoula
  5. Neuromusculoskeletal Medicine Omm
  6. NPI Profile

MISSOULA OSTEOPATHIC CLINIC, PLLC
NPI 1912133885
Neuromusculoskeletal Medicine & OMM in Missoula, MT

Active since June 05, 2009
341 W PINE ST, MISSOULA, MT 59802(406) 327-0269(406) 327-0264 Get Directions Write a Review

NPPES record last updated: June 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Missoula Osteopathic Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOULA OSTEOPATHIC CLINIC, PLLC (NPI 1912133885) is a healthcare organization registered as a neuromusculoskeletal medicine & omm in Missoula, Montana and active in the NPI registry since June 2009. The organization lists Sam A Wallace, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1912133885
Entity TypeOrganization
Primary Taxonomy204D00000X
Legal Business NameMISSOULA OSTEOPATHIC CLINIC, PLLC
Location Address341 W PINE STMissoula, MT 59802-4119
Mailing Address341 W Pine StMissoula, MT 59802-4119 · (406) 327-0269 · Fax (406) 327-0264
Phone(406) 327-0269
Fax(406) 327-0264
Organization SubpartNo
Authorized OfficialSam A WallaceOwner/physician · (406) 327-0269
Enumeration DateJune 5, 2009
✔ NPI 1912133885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
Licenses✔ Licensed in MT · 8667✔ Licensed in MT · 11754✔ Licensed in MT · 11801
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
341 W PINE ST, Missoula, MT 59802
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN000081647MT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAM A WALLACE D.O.
Family Medicine
341 W PINE ST
MISSOULA, MT 59802
Missoula County (406) 327-0269
MISSOULA OSTEOPATHIC CLINIC, LLC
Family Medicine
341 W PINE ST
MISSOULA, MT 59802
Missoula County (406) 327-0269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Missoula Osteopathic Clinic, PLLC's NPI number?

The NPI number for Missoula Osteopathic Clinic, PLLC is 1912133885. It was assigned to this organization in the NPPES registry on June 5, 2009.

Where is Missoula Osteopathic Clinic, PLLC located?

Missoula Osteopathic Clinic, PLLC is located at 341 W Pine St, Missoula, MT 59802. The listed phone number is (406) 327-0269.

What is Missoula Osteopathic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

When was this NPI record last updated?

The NPPES record for Missoula Osteopathic Clinic, PLLC was last updated on June 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.