DR. Timothy John Root, D.C.

NPI #1679824114 in Boise, Idaho

Provider Information

NPI Number: 1679824114
Entity Type: Individual
Name: DR. Timothy John Root, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Sep 24, 2012
Last Updated: Sep 24, 2012

Practice Location

Address: 14495 W BATTENBERG DR
City: Boise
State: Idaho
ZIP Code: 83713-0948
Phone: (208) 761-5777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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