Individual provider · Type 1 NPI

Chad C. Willis, DC

Chiropractor · Meridian, ID

NPI number 1053598599 Active

Practice location

1565 E Leighfield Dr Ste 150
Meridian, ID 83646-5371

Mailing address

12224 W Bowmont St
Boise, ID 83713-0021

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-1267 (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 1053598599

Chad C. Willis, DC's National Provider Identifier is 1053598599, issued on Jan 28, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Meridian, ID. The record was last updated on Jan 28, 2008.