Individual provider · Type 1 NPI
Michael D. Rae, DC
Chiropractor · Boise, ID
NPI number
1194057802
Active
Practice location
1843 S Broadway Ave Ste 203A
Boise, ID 83706-3862
Fax (208) 345-3640
Mailing address
1843 S. Broadway Ave, Suite 203A
Boise, ID 83706-3503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-1332 (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 1194057802
Michael D. Rae, DC's National Provider Identifier is 1194057802, issued on Feb 4, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boise, ID. The record was last updated on Dec 20, 2023.