General Medicine

General Medicine

Family Medicine

Family Medicine


The Consultation

The Consultation

Your consultation with Dr. Pacheco will be in a comfortable and private setting. She personally spends 45 minutes to one hour with each patient at a new consultation.The next step is to have a thorough physical exam, which allows Dr. Pacheco to get a better understanding of what the patient is experiencing and then in partnership, determine the best treatment or wellness plan. Dr. Pacheco encourages her patients to ask questions and will always provide honest and thorough answers. 


Services Offered & Conditions Treated

In person or Telemedicine

Osteopathic Manipulation Treatment

A hands-on manipulation technique by gently applying a precise amount of manual pressure in a specific direction. The pressure is applied either directly in the affected areas or at some distance away. It is used to put the tissues at ease (relaxed) or to engage them at their functional limit in order to effect the following:

  • Treat structural and tissue abnormalities (vertebrae, muscles, myofascial structures, etc.)
  • Relieve joint restriction and misalignment
  • Restore muscle and tissue balance
  • Promote the movement of bodily fluids

    Although often used to treat muscle pain, the treatment can also help patients with other health problems such as: 

  • Asthma
  • Carpel tunnel syndrome
  • Sinus disorders
  • Migraines
  • Menstrual pain
Preventative Medicine

Counsel patients about their health, providing advice about staying in good health, alleviating symptoms of chronic conditions, improving eating habits, and learning to break bad habits.

Chronic Medical Conditions

Back pain, high blood pressure, high cholesterol, migraine headaches, diabetes, cancer, ulcerative colitis, chrons disease, hashimotos, lupus, arthritis.

Minor Dermatologic Procedures

Skin tag removal, laser resurfacing for skin conditions, chemical peels, acne scar removal, dermabrasion/ dermaplaning, intense pulse light (IPL) therapy, treating aged or sun damaged skin.

Wellness Exams, Adult and Adolescents
Sports Physicals
School Physicals

Frequently Asked Questions


Do you accept Insurance?

We will bill most major private insurers. We also accept cash for people without health insurance. Before your appointment, please call our office at 406-549-6600 to verify that we accept your insurance. Our staff is dedicated to making sure you have all the information you need before, during and after your visit with us at Missoula Wellness & Medispa.

What is an Osteopathic Physician, or, D.O.?

Like Medical Doctors, or, MDs, Osteopathic Doctors, or, DOs are board-certified physicians, who are fully licensed to perform surgery and prescribe medication. While DOs practice modern medicine according to the latest technology, they also receive additional training in the musculoskeletal system – this training provides Osteopathic physicians with a clear understanding of the ways that an injury or illness in one part of the body can affect another. As a result, they have a more holistic approach to patient care, focusing on treating the whole-person rather than only treating symptoms. Some Osteopathic physicians perform osteopathic manipulative or OMM, which is a gentle hands-on technique that consists of realigning the body to help disease, injury, illness, relieve pain and structural abnormalities. By combining other medical procedures with OMM, DOs are able to offer their patients the most comprehensive care available in medicine today.

Do you offer financing?
What is your cancellation policy?

Please provide 24-48 notice prior to cancelling your appointment.