NPI 1518023423

Michael Lafayette Johnson, DC

Practitioner Chiropractor Blackfoot, ID

Practice location

Address: 6th W. Bridge St., Blackfoot, ID 83221
Phone: (208) 785-0832

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA-1075 (ID)

Other Chiropractor providers in Idaho →

Registry record

NPI: 1518023423
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2006
Record last updated: 8 Jul 2007

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.