Organization · Type 2 NPI
Mna Gibson P.c.
Chiropractor · Marsing, ID
NPI number
1316117005
Active
Practice location
7A Reich St.
Marsing, ID 83639
Fax (208) 896-9920
Mailing address
3536 E Tallow Ln
Boise, ID 83716-7092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-1130 (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.
About NPI 1316117005
Mna Gibson P.c.'s National Provider Identifier is 1316117005, issued on Mar 10, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marsing, ID. The record was last updated on Mar 10, 2008.