Spinal Dynamics Chiropractic and Rehabilitation Specialists, Inc.

NPI #1164610796 in Meridian, Idaho

Provider Information

NPI Number: 1164610796
Entity Type: Organization
Organization Name: Spinal Dynamics Chiropractic and Rehabilitation Specialists, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Oct 9, 2007
Last Updated: Jan 10, 2008

Practice Location

Address: 3715 E OVERLAND RD
Address 2: SUITE #105
City: Meridian
State: Idaho
ZIP Code: 83642-8395
Phone: (208) 888-0055

Authorized Official

Name: DR. SUSAN LYNNE CUNNINGHAM, D.C.
Title: CHIROPRACTIC PHYSICIAN/OWNER
Phone: (208) 888-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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