OrganizationBodo ChiropracticChiropractorChiropractic ProvidersPractice Address405 S 8th St Ste 290, Boise, ID 83702-7100(208) 342-7136PECOS EnrollmentBased on the most recent information from CMS, provider Bodo Chiropractic does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1396171187Provider TypeOrganizationFull NameBodo ChiropracticSubpartNoEnumeration Date9/24/2013Last Updated3/15/2021Contact InformationPractice LocationPractice Address405 S 8th St Ste 290, Boise, ID 83702-7100Phone(208) 342-7136FaxUnlisted FaxMailing LocationMailing Address405 S 8th St Ste 290, Boise, ID 83702-7100Phone(208) 342-7136FaxUnlisted FaxAuthorized OfficialNameDorn, Jennifer Anne (Owner)Phone(208) 342-7136Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA1559IdahoCode111N00000XDescriptionChiropractorChiropractic ProvidersLicenseCHIA1560IdahoCode111NP0017XDescriptionChiropractorChiropractic ProvidersLicenseCHIA1559Idaho