| Shelley Chiropractic, P.a. | |
|
528 N State St Shelley ID 83274-1154 | |
| (208) 357-0333 | |
| (208) 357-2299 |
| Full Name | Shelley Chiropractic, P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 528 N State St, Shelley, Idaho |
| Authorized Official Name and Position | Travis R Wilkins (PRESIDENT) |
| Authorized Official Contact | 2083570333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Chiropractic, P.a. 528 N State St Shelley ID 83274-1154 Ph: (208) 357-0333 | Shelley Chiropractic, P.a. 528 N State St Shelley ID 83274-1154 Ph: (208) 357-0333 |
| NPI Number | 1811167109 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811167109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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