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RUDDELL CHIROPRACTIC CLINIC
NPI 1225235906
Chiropractor in Lewiston, ID

Active since June 27, 2007
1117 16TH AVE, LEWISTON, ID 83501(208) 743-8401(208) 743-8722 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ruddell Chiropractic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUDDELL CHIROPRACTIC CLINIC (NPI 1225235906) is a healthcare organization registered as a chiropractor in Lewiston, Idaho and active in the NPI registry since June 2007. The organization lists Brian T Ruddell, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1225235906
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRUDDELL CHIROPRACTIC CLINIC
Location Address1117 16TH AVELewiston, ID 83501-3739
Mailing Address1117 16th AveLewiston, ID 83501-3739 · (208) 743-8401 · Fax (208) 743-8722
Phone(208) 743-8401
Fax(208) 743-8722
Organization SubpartNo
Authorized OfficialBrian T RuddellChiropractor · (208) 743-8401
Enumeration DateJune 27, 2007
Last NPPES UpdateMarch 20, 2017
✔ NPI 1225235906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-503
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1117 16TH AVE, Lewiston, ID 83501
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Other Identifiers 1

Medicaid805054900ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruddell Chiropractic Clinic's NPI number?

The NPI number for Ruddell Chiropractic Clinic is 1225235906. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Ruddell Chiropractic Clinic located?

Ruddell Chiropractic Clinic is located at 1117 16th Ave, Lewiston, ID 83501. The listed phone number is (208) 743-8401.

What is Ruddell Chiropractic Clinic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ruddell Chiropractic Clinic was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.