Individual
DR. MITCHELL LEE JEPHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
153 1/2 E MAIN ST, RIGBY, ID 83442-1417
(208) 745-1212
Mailing address
P.O. BOX 181, RIGBY, ID 83442-0181
(208) 745-1212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-935
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTPID001955
—
ID
Enumeration date
04/16/2007
Last updated
11/12/2025
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