Individual provider · Type 1 NPI

Jared D. Mangum, DC, MBA, LMT

Chiropractor · Hayden, ID

NPI number 1578820247 Active

Practice location

8659 N Rude St
Hayden, ID 83835-8255

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X5266084-1202 (UT)
Chiropractor Primary 111N00000XCHIA-2025 (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 1578820247

Jared D. Mangum, DC, MBA, LMT's National Provider Identifier is 1578820247, issued on Apr 18, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Hayden, ID. The record was last updated on Jul 6, 2020.