Organization · Type 2 NPI
Northern Lakes Chiropractic Clinic, P.c.
Chiropractor · Ponderay, ID
NPI number
1710156443
Active
Practice location
30544 Highway 200 Ste 330
Ponderay, ID 83852-5005
Fax (208) 227-8313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-1250 (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.
Another provider at this address
Other chiropractor providers in Ponderay
About NPI 1710156443
Northern Lakes Chiropractic Clinic, P.c.'s National Provider Identifier is 1710156443, issued on Feb 27, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ponderay, ID. The record was last updated on Mar 29, 2018.