BENNETT CHIROPRACTIC CTR PA NPI 1134315914

NPI Information

BENNETT CHIROPRACTIC CTR PA is a chiropractor in Caldwell, ID. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BENNETT CHIROPRACTIC CTR PA NPI is 1134315914. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Kathy R Bennett Dc.

The provider's business location address is:

923 GRANT ST
CALDWELL, ID
ZIP 83605
Phone: (208) 454-9000
Fax: (208) 454-9092

The provider's authorized official is Kathy R Bennett .
The authorized official title is Owner and has the following contact phone number (208) 454-9000.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 9/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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