Organization · Type 2 NPI
Back Country Chiropractic PLLC
Chiropractor · St. Anthony, ID
NPI number
1891985826
Active
Practice location
104 N Bridge St, Suite 104
St. Anthony, ID 83445-1455
Fax (208) 624-2220
Mailing address
PO Box 586
St. Anthony, ID 83445-0586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-1145 (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.
3 other providers at this address
About NPI 1891985826
Back Country Chiropractic PLLC's National Provider Identifier is 1891985826, issued on Jul 26, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Anthony, ID. The record was last updated on Jul 26, 2007.