Gretchen Michelle Bly, D.C.

NPI #1073630984 in Rexburg, Idaho

Provider Information

NPI Number: 1073630984
Entity Type: Individual
Name: Gretchen Michelle Bly, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Mar 24, 2007
Last Updated: Aug 8, 2009

Practice Location

Address: 105 W MAIN ST
City: Rexburg
State: Idaho
ZIP Code: 83440-2634
Phone: (208) 356-6772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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