Bennett Chiropractic Ctr PA

NPI #1134315914 in Caldwell, Idaho

Provider Information

NPI Number: 1134315914
Entity Type: Organization
Organization Name: Bennett Chiropractic Ctr PA
Primary Specialty: Chiropractor
Enumeration Date: Sep 14, 2007
Last Updated: Sep 14, 2007

Practice Location

Address: 923 GRANT ST
City: Caldwell
State: Idaho
ZIP Code: 83605
Phone: (208) 454-9000

Authorized Official

Name: KATHY R BENNETT, DC
Title: OWNER
Phone: (208) 454-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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