Individual provider · Type 1 NPI

Codi Fuller, DC

Chiropractor · Lewiston, ID

NPI number 1093102428 Active

Practice location

30207 Rosenkrantz Rd
Lewiston, ID 83501-5229

Call (208) 691-8647 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-1649 (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 1093102428

Codi Fuller, DC's National Provider Identifier is 1093102428, issued on Apr 23, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lewiston, ID. The record was last updated on Jul 31, 2016.