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 provides Chiropractor services 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 Not confirmed with CMS for 16 years — call before visiting
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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