NPI age
18 years
Enumerated 2008-02-27
● Active Type 2 · Organization
Northern Lakes Chiropractic Clinic, P.c.
Northern Lakes Chiropractic Clinic, P.c. is 1 of 1165 chiropractor organizations in Idaho.
Primary specialty
Chiropractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Leisy
Ceo
Last NPPES update
2018-03-29
Source: monthly bulk 2026-05
How this organization compares
Across 1165 active chiropractor providers in Idaho.
NPI age
18 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
30544 Highway 200 Ste 330
Ponderay, ID 838525005
Mailing address
30544 Highway 200 Ste 330
Ponderay, ID 838525005
Authorized official
Ryan Leisy, DC
Ceo
📞 2082651900
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Ryan Leisy, D.C. Chiropractor NPI 1982741195
Specialties
-
Chiropractor PrimaryA 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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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