NPI 1073630984

Gretchen Michelle Bly, DC

Practitioner Chiropractor Rexburg, ID

Practice location

Address: 105 W Main St, Rexburg, ID 83440-2634
Phone: (208) 356-6772

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA-1037 (ID)

Other Chiropractor providers in Idaho →

Registry record

NPI: 1073630984
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2007
Record last updated: 8 Aug 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.