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NORTHERN LAKES CHIROPRACTIC CLINIC, P.C.
NPI 1710156443
Chiropractor in Ponderay, ID

Active since February 27, 2008
30544 HIGHWAY 200 STE 330, PONDERAY, ID 83852(208) 265-1900(208) 227-8313 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northern Lakes Chiropractic Clinic, P.c. NPPES

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

NORTHERN LAKES CHIROPRACTIC CLINIC, P.C. (NPI 1710156443) is a healthcare organization registered as a chiropractor in Ponderay, Idaho and active in the NPI registry since February 2008. The organization lists Ryan Leisy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710156443
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameNORTHERN LAKES CHIROPRACTIC CLINIC, P.C.
Location Address30544 HIGHWAY 200 STE 330Ponderay, ID 83852-5005
Mailing Address30544 Highway 200 Ste 330Ponderay, ID 83852-5005 · (208) 265-1900 · Fax (208) 227-8313
Phone(208) 265-1900
Fax(208) 227-8313
Organization SubpartNo
Authorized OfficialRyan LeisyCeo · (208) 265-1900
Enumeration DateFebruary 27, 2008
Last NPPES UpdateMarch 29, 2018
✔ NPI 1710156443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-1250
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.
30544 HIGHWAY 200 STE 330, Ponderay, ID 83852
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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.

RYAN LEISY D.C.
Chiropractor
30544 HIGHWAY 200 STE 330
PONDERAY, ID 83852
Bonner County (208) 265-1900

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 Northern Lakes Chiropractic Clinic, P.C.'s NPI number?

The NPI number for Northern Lakes Chiropractic Clinic, P.C. is 1710156443. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Northern Lakes Chiropractic Clinic, P.C. located?

Northern Lakes Chiropractic Clinic, P.C. is located at 30544 Highway 200 Ste 330, Ponderay, ID 83852. The listed phone number is (208) 265-1900.

What is Northern Lakes Chiropractic Clinic, P.C.'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 Northern Lakes Chiropractic Clinic, P.C. was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.