Provider Demographics
NPI:1700779345
Name:ANCESTRAL HEALTH CHIROPRACTIC
Entity type:Organization
Organization Name:ANCESTRAL HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ABBAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-228-2998
Mailing Address - Street 1:1757 HIGHLAND BLVD UNIT 15
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-7404
Mailing Address - Country:US
Mailing Address - Phone:480-228-2998
Mailing Address - Fax:480-228-2998
Practice Address - Street 1:1128 E MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3861
Practice Address - Country:US
Practice Address - Phone:480-228-2998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty