Organization
IDAHO SPINE AND SPORTS CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDRICK L TWEEDT D.C. (OWNER)
(208) 323-2833
Entity
Organization
Contact information
Practice address
2399 S ORCHARD ST, STE. 204, BOISE, ID 83705-3793
(208) 323-2833
(208) 323-2834
Mailing address
2399 S ORCHARD ST, STE. 204, BOISE, ID 83705-3793
(208) 323-2833
(208) 323-2834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
01/28/2015
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