Liljenquist Chiropractic, P.a.

NPI #1811295447 in Burley, Idaho

Provider Information

NPI Number: 1811295447
Entity Type: Organization
Organization Name: Liljenquist Chiropractic, P.a.
Primary Specialty: Chiropractor
Enumeration Date: Mar 7, 2011
Last Updated: Mar 7, 2011

Practice Location

Address: 1700 OVERLAND AVENUE
City: Burley
State: Idaho
ZIP Code: 83318
Phone: (208) 678-2631

Authorized Official

Name: CODY S. LILJENQUIST, D.C.
Title: OWNER/CHIROPRACTOR
Phone: (208) 678-2631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Chiropractor	111N00000X	Primary

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