DR. Jeremiah Lee Tibbitts, DC

NPI #1053505396 in Boise, Idaho

Provider Information

NPI Number: 1053505396
Entity Type: Individual
Name: DR. Jeremiah Lee Tibbitts, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 29, 2007
Last Updated: Dec 10, 2020

Practice Location

Address: 7149 W EMERALD ST
City: Boise
State: Idaho
ZIP Code: 83704-8620
Phone: (425) 394-3991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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