The Gardens Chiropractic

NPI #1962891432 in Fruitland, Idaho

Provider Information

NPI Number: 1962891432
Entity Type: Organization
Organization Name: The Gardens Chiropractic
Primary Specialty: Clinic/Center
Enumeration Date: Jan 21, 2015
Last Updated: Jan 21, 2015

Practice Location

Address: 2007 N WHITLEY DR
City: Fruitland
State: Idaho
ZIP Code: 83619-2132
Phone: (208) 695-0098

Authorized Official

Name: DR. TYSON WLILIAN DEVEREUX, D.C.
Title: CHIROPRACTOR
Phone: (208) 608-8283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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