NPI 1164805750

John Knox Maltby, DC

Practitioner Chiropractor Eagle, ID

Practice location

Address: 1299 E Iron Eagle Dr Suite 130, Eagle, ID 83616-6869
Phone: (208) 939-6100
Mailing address: 1299 E Iron Eagle Dr STE 130, Eagle, ID 83616-6869

Registered specialties (2)

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA-1760 (ID)

Other Chiropractor providers in Idaho →

Chiropractor

Chiropractic Providers Taxonomy 111N00000X Licence 33328 (CA)

Registry record

NPI: 1164805750
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2015
Record last updated: 24 Apr 2017

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.