OrganizationPerformance And Rehabilitation ChiropracticChiropractorChiropractic ProvidersPractice Address2525 N Stokesberry Pl Ste B, Meridian, ID 83646-1144(208) 955-6610PECOS EnrollmentBased on the most recent information from CMS, provider Performance And Rehabilitation 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 2 days ago.Profile DetailsProvider ID1336380450Provider TypeOrganizationFull NamePerformance And Rehabilitation ChiropracticSubpartNoEnumeration Date3/19/2009Last Updated6/21/2018Contact InformationPractice LocationPractice Address2525 N Stokesberry Pl Ste B, Meridian, ID 83646-1144Phone(208) 955-6610Fax(208) 955-6612Mailing LocationMailing Address2525 N Stokesberry Pl Ste B, Meridian, ID 83646-1144Phone(208) 955-6610Fax(208) 955-6612Authorized OfficialNameGriffeth, Dennis Ryan (Owner/Doctor)Phone(208) 955-6610Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-1358Idaho