Provider Demographics
NPI:1679640304
Name:ZIGLER, KATHERINE NICHOLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:NICHOLAS
Last Name:ZIGLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-3956
Mailing Address - Country:US
Mailing Address - Phone:208-345-0969
Mailing Address - Fax:
Practice Address - Street 1:1819 W STATE ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-3956
Practice Address - Country:US
Practice Address - Phone:208-345-0969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-565111N00000X
IDACC-72171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist