Blackfoot Health & Wellness Center, Llc.

NPI #1417711284 in Rexburg, Idaho

Provider Information

NPI Number: 1417711284
Entity Type: Organization
Organization Name: Blackfoot Health & Wellness Center, Llc.
Primary Specialty: Chiropractor
Enumeration Date: Feb 12, 2024
Last Updated: Feb 12, 2024

Practice Location

Address: 105 W MAIN ST
City: Rexburg
State: Idaho
ZIP Code: 83440-1826
Phone: (208) 356-6772

Authorized Official

Name: DR. LELAND PHELPS, DC
Title: OWNER/DOCTOR
Phone: (208) 356-6772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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