Henderson Chiropractic Pllc

NPI #1659540243 in Boise, Idaho

Provider Information

NPI Number: 1659540243
Entity Type: Organization
Organization Name: Henderson Chiropractic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Feb 27, 2008
Last Updated: Feb 27, 2008

Practice Location

Address: 1390 S. MAPLE GROVE
Address 2: SUITE 200
City: Boise
State: Idaho
ZIP Code: 83709
Phone: (208) 672-0100

Authorized Official

Name: DR. SPENCER DEAN HENDERSON, D.C.
Title: OWNER
Phone: (208) 672-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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