NPI 1528535986

Elevated Chiropractic LLC

Organisation Chiropractor Rexburg, ID

Practice location

Address: 1134 Bond Ave, Rexburg, ID 83440-3582
Phone: (208) 356-8818
Fax: (208) 356-0458

Authorised official

Name: Kerry Chant Williams
Title: Owner
Phone: (208) 356-8818

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

Other Chiropractor providers in Idaho →

Registry record

NPI: 1528535986
Entity type: Organization
NPI issued: 24 Oct 2018
Record last updated: 24 Oct 2018

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.