Body of a Champion Chiropractic, PC

NPI #1154938983 in Boise, Idaho

Provider Information

NPI Number: 1154938983
Entity Type: Organization
Organization Name: Body of a Champion Chiropractic, PC
Primary Specialty: Chiropractor
Enumeration Date: Sep 25, 2020
Last Updated: Sep 25, 2020

Practice Location

Address: 9196 W EMERALD ST STE 120
City: Boise
State: Idaho
ZIP Code: 83704-8003
Phone: (208) 990-7010

Authorized Official

Name: DR. MADISON J WILLS, DC
Title: CHIROPRACTOR
Phone: (208) 990-7010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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