Organization · Type 2 NPI
Idaho Spine Clinic LLC
Chiropractor · Malad City, ID
NPI number
1679805535
Active
Practice location
148 E 50 S
Malad City, ID 83252-1368
Fax (208) 766-8111
Mailing address
PO Box 69
Malad City, ID 83252-0069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-837 (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.
About NPI 1679805535
Idaho Spine Clinic LLC's National Provider Identifier is 1679805535, issued on Feb 3, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Malad City, ID. The record was last updated on Feb 3, 2010.