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LEGACY CHIROPRACTIC PLLC
NPI 1336713858
Chiropractor in Eagle, ID

Active since May 19, 2021
20 N FISHER PARK WAY STE 100, EAGLE, ID 83616(206) 313-3733 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2021, May 19, 2021 (2 updates tracked since 2021).

About Legacy Chiropractic Pllc NPPES

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

LEGACY CHIROPRACTIC PLLC (NPI 1336713858) is a healthcare organization registered as a chiropractor in Eagle, Idaho and active in the NPI registry since May 2021. The organization lists Brent Symes, Owner, as its authorized official.

NPPES Registry Identity

NPI1336713858
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLEGACY CHIROPRACTIC PLLC
Location Address20 N FISHER PARK WAY STE 100Eagle, ID 83616-4709
Mailing AddressPo Box 996Eagle, ID 83616-0002 · (206) 313-3733
Phone(206) 313-3733
Organization SubpartNo
Authorized OfficialBrent SymesOwner · (206) 313-3733
Enumeration DateMay 19, 2021
Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1336713858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
20 N FISHER PARK WAY STE 100, Eagle, ID 83616
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER DEJA
Massage Therapist
20 N FISHER PARK WAY STE 100
EAGLE, ID 83616
Ada County (208) 297-1414

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 Legacy Chiropractic PLLC's NPI number?

The NPI number for Legacy Chiropractic PLLC is 1336713858. It was assigned to this organization in the NPPES registry on May 19, 2021.

Where is Legacy Chiropractic PLLC located?

Legacy Chiropractic PLLC is located at 20 N Fisher Park Way Ste 100, Eagle, ID 83616. The listed phone number is (206) 313-3733.

What is Legacy Chiropractic PLLC'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 Legacy Chiropractic PLLC was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.