OrganizationActive
Cannon Chiropractic
NPI 1164837647 · Primary Care Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1164837647
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Cannon, Chiropractic Physician, Owner(208) 557-1880
- License
- CHIA-1580 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2052 Jennie Lee Dr
Suite 4
Idaho Falls, ID 83404-7047
Phone: (208) 557-1880
Fax: (208) 874-4273
Approximate (ZIP-level) locationGet directions
Mailing address
2052 Jennie Lee Dr
Idaho Falls, ID 83404-7047
Registry dates
- Enumerated
- 2014-06-24
- Last updated
- 2014-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.