NPI 1013111764

Back to Health Chiropractic Clinic INC

Organisation Chiropractor Rexburg, ID

Practice location

Address: 60 S 2nd W, Rexburg, ID 83440-1819
Phone: (208) 359-2264

Authorised official

Name: David George Booth
Title: President
Phone: (208) 359-2264

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA 804 (ID)

Other Chiropractor providers in Idaho →

Registry record

NPI: 1013111764
Entity type: Organization
NPI issued: 14 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.