Individual provider · Type 1 NPI

Timothy Wade Cannon, DC

Chiropractor · Ammon, ID

NPI number 1952722290 Active

Practice location

611 Ensign Dr
Ammon, ID 83406-4777

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-1580 (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 1952722290

Timothy Wade Cannon, DC's National Provider Identifier is 1952722290, issued on Jan 3, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ammon, ID. The record was last updated on Feb 9, 2017.