Organization · Type 2 NPI

Ellis Chiropractic Inc

Chiropractor · Blackfoot, ID

NPI number 1043406705 Active

Practice location

745 W Bridge St Ste F
Blackfoot, ID 83221-2000

Call (208) 782-9793 Map

Fax (208) 782-1999

Mailing address

745 W. Bridge St. Suite F
Blackfoot, ID 83221

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X860 (ID)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1043406705

Ellis Chiropractic Inc's National Provider Identifier is 1043406705, issued on Sep 17, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Blackfoot, ID. The record was last updated on Sep 17, 2007.