Bradley Waters, D.C., D.I.C.C.P

NPI 1447376082 · on the registry since 2007 · sole proprietor

Practice

Address: 410 S Orchard St Ste 120
Boise, ID 83705
Phone: (208) 336-7963
Organisation at this address: Dia Michelle, Llc
Kristen Shearer Llc
Moore Wellness Pllc
Boise River Counseling
Tree Of Life Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 46

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho