Organization
PRICE CHIROPRACTIC CENTER CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER REIDHEAD D.C. (OWNER)
(208) 323-1313
Entity
Organization
Contact information
Practice address
9508 W FAIRVIEW AVE, BOISE, ID 83704-8103
(208) 323-1313
(208) 323-1368
Mailing address
9508 W FAIRVIEW AVE, BOISE, ID 83704-8103
(208) 323-1313
(208) 323-1368
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CHIA-452
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIA-452
CHIROPRACTIC LICENSE
ID
Enumeration date
06/12/2014
Last updated
06/20/2025
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