Organization
MINI-CASSIA CHIROPRACTIC & SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE W SANFORD DC (DOCTOR)
(208) 260-0917
Entity
Organization
Contact information
Practice address
749 N OVERLAND AVE, BURLEY, ID 83318-3440
(208) 260-0917
(208) 391-2500
Mailing address
2200 MACS AVE, HEYBURN, ID 83336-9734
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1817
ID
Other
Enumeration date
03/26/2018
Last updated
09/09/2024
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