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Blue Lakes Chiropractic, Pa
Chiropractor in Twin Falls, Idaho
NPI 1679508170

Blue Lakes Chiropractic, Pa is a Chiropractor based in Twin Falls, ID. Blue Lakes Chiropractic, Pa practices in Twin Falls, ID. The NPI Number for Blue Lakes Chiropractic, Pa is 1679508170 and holds a License No. (Idaho).

The current practice location address for Blue Lakes Chiropractic, Pa is 1122 Eastland Dr N # 2, Twin Falls, ID and can be reached out via phone at 208-734-9531 and via fax at 208-733-6969.

Location: 1122 Eastland Dr N # 2, Twin Falls, ID, 83301-8444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679508170
Provider Name
Blue Lakes Chiropractic, Pa
Credential
Provider Entity Type
Organization
Address
1122 Eastland Dr N # 2, Twin Falls, ID, 83301-8444
Phone Number
208-734-9531
Fax Number
208-733-6969
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
312142 01 ID BLUE SHIELD
M8082987 05 ID
C9974 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1122 Eastland Dr N # 2
City
Twin Falls
State
Idaho
Zip
83301-8444
Phone Number
208-734-9531
Fax Number
208-733-6969
person
Provider Business Mailing Address Details
Address
1122 Eastland Dr N # 2
City
Twin Falls
State
Idaho
Zip
83301-8444
Phone Number
208-734-9531
Fax Number
208-733-6969
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Idaho)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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