MEDICARE: KARI ANN ROBERTSON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIA-1974	ID
2	171100000X	Acupuncturist	ACC-402	ID

General Provider Information

NPI Number	:	1871139865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI ANN ROBERTSON D.C.

Provider Business Mailing Address
First Line	:	6200 N MEEKER PL
Second Line	:	SUITE 220
City	:	BOISE
State	:	ID
Zip	:	83713
Country	:	US
Telephone Number	:	208-994-2931
Fax Number	:	208-826-1150

Provider Business Practice Location Address
First Line	:	6200 N MEEKER PL
Second Line	:	SUITE 220
City	:	BOISE
State	:	ID
Zip	:	83713
Country	:	US
Telephone Number	:	208-994-2931
Fax Number	:	208-826-1150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2019
Last Update Date	:	02/17/2026

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