Individual
DR. JEREMIAH LEE TIBBITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7149 W EMERALD ST, BOISE, ID 83704-8620
(425) 394-3991
Mailing address
7149 W EMERALD ST, BOISE, ID 83704-8620
(425) 394-3991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034810
WA
Other
Enumeration date
08/29/2007
Last updated
12/10/2020
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