Gretchen Michelle Bly D.C.

NPI 1073630984 - Chiropractor - 111N00000X

NPI Details
NPI 1073630984
Gender Female
Enumeration Date 03/24/2007
Last Updated 08/08/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
105 W MAIN ST
REXBURG ID, 83440-2634, US
Phone (208) 356-6772
Fax
Business Location
105 W MAIN ST
REXBURG ID, 83440-2634, US
Phone (208) 356-6772
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Idaho
License Number CHIA-1037
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According to our database, Gretchen Michelle Bly D.C. NPI is 1073630984, taxonomy code is 111N00000X and license number is CHIA-1037, license state is located at Idaho. Gretchen Michelle Bly D.C. physically located at 105 W Main St, Rexburg ID, 83440-2634. NPI Number Gretchen Michelle Bly D.C. has the Individual type.

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1073630984 NPI number is provided on an as is basis without warranty of any kind. 1073630984 is maintained by the National Plan & Provider Enumeration System. The contents of Gretchen Michelle Bly D.C. are for informational purposes only.