Individual provider · Type 1 NPI

Kendrick L. Tweedt, DC, C.C.S.P.

Chiropractor · Boise, ID

NPI number 1528142007 Active

Practice location

8752 W Overland Rd, Suite 110
Boise, ID 83709-1604

Fax (208) 323-2834

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA732 (CA)

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 1528142007

Kendrick L. Tweedt, DC, C.C.S.P.'s National Provider Identifier is 1528142007, issued on Oct 24, 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.