Individual provider · Type 1 NPI
Sam Mitchell, DC
Chiropractor · Boise, ID
NPI number
1306900733
Active
Practice location
10316 Ustick Rd Ste 100
Boise, ID 83704-5284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-1050 (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 1306900733
Sam Mitchell, DC's National Provider Identifier is 1306900733, issued on Dec 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.