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The Other Road Incorporated
Chiropractor in Meridian, Idaho
NPI 1700106663

The Other Road Incorporated is a Chiropractor based in Meridian, ID. The Other Road Incorporated practices in Meridian, ID. The NPI Number for The Other Road Incorporated is 1700106663 and holds a License No. (Idaho).

The current practice location address for The Other Road Incorporated is 1640 W Cherry Ln # 130, Meridian, ID and can be reached out via phone at 208-895-8595 and via fax at 208-895-8594.

Location: 1640 W Cherry Ln # 130, Meridian, ID, 83642-8187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700106663
Provider Name
The Other Road Incorporated
Credential
Provider Entity Type
Organization
Address
1640 W Cherry Ln # 130, Meridian, ID, 83642-8187
Phone Number
208-895-8595
Fax Number
208-895-8594
Provider Enumeration Date
06/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8M574 01 ID BLUC CROSS GROUP#
institution
Provider Business Practice Location Address Details
Address
1640 W Cherry Ln # 130
City
Meridian
State
Idaho
Zip
83642-8187
Phone Number
208-895-8595
Fax Number
208-895-8594
person
Provider Business Mailing Address Details
Address
1640 W Cherry Ln # 130
City
Meridian
State
Idaho
Zip
83642-8187
Phone Number
208-895-8595
Fax Number
208-895-8594
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
()
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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