Individual provider · Type 1 NPI

Grayson Blom, DC

Chiropractor · Boise, ID

NPI number 1316112428 Active

Practice location

5975 W. Overland Rd.
Boise, ID 83709

Call (208) 559-0541 Map

Mailing address

4869 W Malad St, Ste D
Boise, ID 83705-8844

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-1297 (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 1316112428

Grayson Blom, DC's National Provider Identifier is 1316112428, issued on Apr 29, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boise, ID. The record was last updated on Nov 9, 2016.