Stormie Johanson, DC Valid NPI
Individual provider · Chiropractor · Eagle, ID
- NPI
- 1942893409
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- CHIA-1972 (ID)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-02-16
- Last updated
- 2021-02-16
Practice location
1155 E Winding Creek Dr
Eagle, ID 83616-7232
(515) 320-4103