NPI 1023166436

Freddie L. Sermon, DC

Practitioner Chiropractor Idaho Falls, ID

Practice location

Address: 1880e 17th St, Idaho Falls, ID 83404-6468
Phone: (208) 206-0237
Mailing address: 777 Hoopes Ave K306, Idaho Falls, ID 83401-6093

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CH-679 (ID)

Other Chiropractor providers in Idaho →

Registry record

NPI: 1023166436
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2007
Record last updated: 23 Oct 2015

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.