| The Gardens Chiropractic | |
|
2007 N Whitley Dr Fruitland ID 83619-2132 | |
| (208) 695-0098 | |
| Not Available |
| Full Name | The Gardens Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 2007 N Whitley Dr, Fruitland, Idaho |
| Authorized Official Name and Position | Tyson Wlilian Devereux (CHIROPRACTOR) |
| Authorized Official Contact | 2086088283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Gardens Chiropractic 2007 N Whitley Dr Fruitland ID 83619-2132 Ph: (208) 608-8283 | The Gardens Chiropractic 2007 N Whitley Dr Fruitland ID 83619-2132 Ph: (208) 695-0098 |
| NPI Number | 1962891432 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 01/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962891432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CHIA-1540 (Idaho) | Primary |
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