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Active NPI 1740620830 Individual Practitioner Male Practitioner

Eugene Statelen , LICENSED MASSAGE THE

Specialist • Missoula, MT

Professional Overview & Biography Verified Profile Summary

Eugene Statelen, LICENSED MASSAGE THE is a registered healthcare professional specializing in Specialist in Missoula, MT. Practice services are available at 2801 GREAT NORTHERN LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2801 Great Northern Loop

Missoula, MT 598081745

Telephone 4063704474
Associated Practice Facility / Clinic
🏢 W Chiropractic Incorporated Facility NPI 1346399896

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Missoula, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
30 Specialists

Practicing in Missoula, MT (139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MT 590

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Derek Smith , LMT

Massage Therapist

NPI 1053726323

Licensed Massage Therapist

Dr. Carl Thornblade , MD

Allergy & Immunology

NPI 1073605200

Doctor of Medicine (M.D.)

Kasarah Gregg , LIC-

Massage Therapist

NPI 1174112163

LIC

NPI 1194010009

Licensed Massage Therapist

Cortney Skinner , LMT

Massage Therapist

NPI 1205332582

Licensed Massage Therapist

Carly Keene

Massage Therapist

NPI 1225685399

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 28, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2013

Registered at 2801 GREAT NORTHERN LOOP, MISSOULA, MT 598081745 (Tel: 4063704474)

📍
Updated Business Mailing Address August 28, 2013

Registered at 2798 RICH CT, MISSOULA, MT 598047125 (Tel: 4063704474)

👤
Provider Name / Credentials Updated August 28, 2013

Recorded as EUGENE STATELEN, LICENSED MASSAGE THE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2013

Specialist (License #590 in MT)

🟢
Initial NPI Registration & Enumeration July 03, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740620830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2013
Last Update: August 28, 2013
Sole Proprietor: No

Mailing Address

2798 Rich Ct

Missoula, MT 598047125

Phone: 4063704474

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.