OrganizationPersonal Care Chiropractic Clinics P AChiropractorChiropractic ProvidersPractice Address1319 W River St, Boise, ID 83702-6857(208) 375-0007PECOS EnrollmentBased on the most recent information from CMS, provider Personal Care Chiropractic Clinics P A 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 3 days ago.Profile DetailsProvider ID1619987476Provider TypeOrganizationFull NamePersonal Care Chiropractic Clinics P ASubpartNoEnumeration Date8/8/2006Last Updated2/3/2022Contact InformationPractice LocationPractice Address1319 W River St, Boise, ID 83702-6857Phone(208) 375-0007Fax(208) 658-0578Mailing LocationMailing Address1319 W River St, Boise, ID 83702-6857Phone(208) 375-0007Fax(208) 658-0578Authorized OfficialNameThiry, Robert E (Director)Phone(208) 375-0007Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseC785Idaho