NPI 1164968640

Dustin David Elliott

Practitioner Chiropractor Kuna, ID

Practice location

Address: 757 E Wythe Creek CT STE 102, Kuna, ID 83634-5006
Phone: (208) 922-4908
Fax: (208) 922-4909

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA-1734 (ID)

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Registry record

NPI: 1164968640
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2017
Record last updated: 9 Jan 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.