NPI age
20 years
Enumerated 2006-05-19
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 471931437 | TAX ID |
| 01 (ID) | ZIR91475 | TRADING PARTNER |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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