Individual provider · Type 1 NPI

Ty Ogata, DC

Chiropractor · Boise, ID

NPI number 1487717054 Active

Practice location

12353 W Mcmillan Rd
Boise, ID 83713-5052

Call (208) 938-3334 Map

Fax (208) 938-3335

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA920 (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 1487717054

Ty Ogata, DC's National Provider Identifier is 1487717054, issued on Dec 18, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boise, ID. The record was last updated on Dec 11, 2012.