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

Idaho Spine Clinic LLC

Organization Chiropractor · NPI 1679805535

Idaho Spine Clinic LLC is a Chiropractor in Malad City, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

148 E 50 S
Malad City, ID 83252-1368
Phone: (208) 766-8111
Fax: (208) 766-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA-837 (ID)

Record details

NPI number1679805535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Perry — Doctor Of Chiropractic · (208) 766-8111
NPI enumeratedFebruary 3, 2010
Last updated in NPPESFebruary 3, 2010
Mailing addressPo Box 69, Malad City, ID 83252-0069

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