Organization · Type 2 NPI

Legacy Chiropractic PLLC

Chiropractor · Eagle, ID

NPI number 1336713858 Active

Practice location

20 N Fisher Park Way Ste 100
Eagle, ID 83616-4709

Mailing address

PO Box 996
Eagle, ID 83616-0002

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

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 1336713858

Legacy Chiropractic PLLC's National Provider Identifier is 1336713858, issued on May 19, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Eagle, ID. The record was last updated on Aug 16, 2021.