Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Chiropractic of Blackfoot

Organization Preferred Provider Organization · NPI 1720521719

Advanced Chiropractic of Blackfoot is a Preferred Provider Organization in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016

Practice location Address checks out

1395 NW Main St
Blackfoot, ID 83221-3936
Phone: (208) 785-0270
Fax: (208) 785-0683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence CHIA-1502 (ID)

Record details

NPI number1720521719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dee Stevens — Owner Operator · (208) 785-0270
NPI enumeratedNovember 23, 2016
Last updated in NPPESNovember 4, 2019
Mailing address725 Jensen Grove Dr, Suite #4, Blackfoot, ID 83221-1636

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