# GAERTNER CHIROPRACTIC & INTEGRATED MEDICINE CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356358204
- **Authorized official:** DR. SHANNON D GAERTNER-EWING D.C. (PRESIDENT)
- **Authorized official phone:** (208) 467-5994

## Contact information

- **Practice address:** 217 W GEORGIA AVE STE 120, NAMPA, ID 83686-6812
- **Practice address phone:** (208) 467-5994
- **Practice address fax:** (208) 467-5127
- **Mailing address:** 315 7TH AVE S, PO BOX 3306, NAMPA, ID 83651-3848
- **Mailing address phone:** (208) 467-5994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | CHIA829 | ID | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 06/28/2023