Individual provider · Type 1 NPI

Gretchen Michelle Bly, DC

Chiropractor · Rexburg, ID

NPI number 1073630984 Active

Practice location

105 W Main St
Rexburg, ID 83440-2634

Call (208) 356-6772 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-1037 (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 1073630984

Gretchen Michelle Bly, DC's National Provider Identifier is 1073630984, issued on Mar 24, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Rexburg, ID. The record was last updated on Aug 8, 2009.