Organization
TLC FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY ARTHUR MCCUISTION D.C. (OWNER)
(801) 502-9278
Entity
Organization
Contact information
Practice address
430 N STATE ST, RIGBY, ID 83442-1240
(208) 745-8760
Mailing address
430 N STATE ST, RIGBY, ID 83442-1240
(208) 745-8760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3449671202
UT
Other
Enumeration date
05/10/2007
Last updated
01/26/2010
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