Individual
TANNER WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1122 EASTLAND DR N STE 2, TWIN FALLS, ID 83301-8444
(208) 734-9531
Mailing address
1122 EASTLAND DR N STE 2, TWIN FALLS, ID 83301-8444
(208) 734-9531
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1882
ID
Other
Enumeration date
10/04/2018
Last updated
01/13/2020
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