Individual provider · Type 1 NPI

Stormie Johanson, DC

Chiropractor · Eagle, ID

NPI number 1942893409 Active

Practice location

1155 E Winding Creek Dr
Eagle, ID 83616-7232

Call (515) 320-4103 Map

Mailing address

1465 W Deer Crest Dr Apt P105
Meridian, ID 83646-4621

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-1972 (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 1942893409

Stormie Johanson, DC's National Provider Identifier is 1942893409, issued on Feb 16, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Eagle, ID. The record was last updated on Feb 16, 2021.