Organization · Type 2 NPI

Grand Teton Chiropractic, P.c.

Chiropractor · Idaho Falls, ID

NPI number 1679519193 Active

Practice location

1220 E 17th St
Idaho Falls, ID 83404-6147

Fax (208) 552-9447

Mailing address

4317 Amber Ln
Ammon, ID 83406-4640

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA 904 (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 1679519193

Grand Teton Chiropractic, P.c.'s National Provider Identifier is 1679519193, issued on Jun 22, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Feb 10, 2014.