Willis Family Chiropractic, LLC

NPI #1114191137 in Boise, Idaho

Provider Information

NPI Number: 1114191137
Entity Type: Organization
Organization Name: Willis Family Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 22, 2008
Last Updated: Oct 6, 2008

Practice Location

Address: 10451 W GARVERDALE CT
Address 2: SUITE 201
City: Boise
State: Idaho
ZIP Code: 83704-5408
Phone: (208) 322-4114

Authorized Official

Name: DR. NICOLE WILLIS, DC
Title: CHIROPRACTOR, OWNER
Phone: (208) 322-4114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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