Individual provider · Type 1 NPI
Jake W. Sanford, DC
Chiropractor · Burley, ID
NPI number
1184125288
Active
Practice location
749 N Overland Ave
Burley, ID 83318-3440
Fax (208) 261-5004
Mailing address
2200 Macs Ave
Heyburn, ID 83336-9734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-1817 (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 1184125288
Jake W. Sanford, DC's National Provider Identifier is 1184125288, issued on Feb 23, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Burley, ID. The record was last updated on Sep 9, 2024.