NPI 1871602987

Mellor Chiropractic Clinic P.A.

Organisation Physical Disabilities Residential Treatment Facility Rexburg, ID

Practice location

Address: 54 Professional Plz, Rexburg, ID 83440-2047
Phone: (208) 356-6009

Authorised official

Name: Stephen Paul Mellor
Title: Chiropractic Physician
Phone: (208) 356-6009

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence C343 (ID)

Other Residential Treatment Facility, Physical Disabilities providers in Idaho →

Registry record

NPI: 1871602987
Entity type: Organization
NPI issued: 30 Aug 2006
Record last updated: 6 Feb 2009

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.