Individual
DR. TIMOTHY JOHN ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14495 W BATTENBERG DR, BOISE, ID 83713-0948
(208) 761-5777
Mailing address
1604 N 30TH ST, BOISE, ID 83703-5917
(208) 761-5777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1032
ID
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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