Organization · Type 2 NPI

Idaho Chiropractic Group, PLLC

Chiropractor · Boise, ID

NPI number 1639280712 Active

Practice location

403 S 11th St, Suite #110
Boise, ID 83702-6968

Fax (208) 343-0642

Mailing address

PO Box 7442
Boise, ID 83707-1442

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XCHIA-802 (ID)
Chiropractor Primary 111N00000XCHIA-559 (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 1639280712

Idaho Chiropractic Group, PLLC's National Provider Identifier is 1639280712, issued on Aug 31, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.