Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Glen Maricelli, DC

Individual provider Chiropractor · NPI 1790368645

Dr. Glen Maricelli, DC is a Chiropractic in Missoula, Montana. Graduated from Palmer College Chiropractic - Davenport in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
6
Trained at
Palmer College Chiropractic - Davenport
Licensed in
MT
In the registry since
2021
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2330 S Higgins Ave Ste 100
Missoula, MT 59801-6923
Phone: (406) 728-0222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHI-CHI-LIC-6766 (MT)

Record details

NPI number1790368645
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 29, 2021
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address2330 S Higgins Ave Ste 100, Missoula, MT 59801-6923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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