Organization
CHIRO PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L TRAVISS CH (CLINIC DIRECTOR)
(208) 762-1414
Entity
Organization
Contact information
Practice address
15 W HONEYSUCKLE AVE, HAYDEN, ID 83835-2376
(208) 762-1414
(208) 762-1433
Mailing address
PO BOX 2376, HAYDEN, ID 83835-2376
(208) 762-1414
(208) 762-1433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA709
ID
Other
Enumeration date
01/22/2007
Last updated
01/30/2008
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