Organization · Type 2 NPI
Country Doctor Chartered
Chiropractor · Challis, ID
NPI number
1104943612
Active
Practice location
1148 12th St
Challis, ID 83226
Mailing address
PO Box 1178
Challis, ID 83226-1178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
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.
2 other providers at this address
Other chiropractor providers in Challis
About NPI 1104943612
Country Doctor Chartered's National Provider Identifier is 1104943612, issued on Mar 22, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Challis, ID. The record was last updated on Aug 22, 2020.