Individual
DR. REBECCA L JERGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, EMT
Contact information
Practice address
1625 W STATE ST # 100, BOISE, ID 83702-4041
(208) 336-0017
Mailing address
1625 W STATE ST # 100, BOISE, ID 83702-4041
(208) 336-0017
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1812
ID
Other
Enumeration date
11/27/2017
Last updated
04/30/2026
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