Individual ProviderJared MitchellChiropractorChiropractic ProvidersPractice Address4019 N Bold Stripe Ave, Meridian, ID 83646-4060(209) 992-9998PECOS EnrollmentBased on the most recent information from CMS, provider Jared Mitchell 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 ID1841142304Provider TypeIndividualFull NameMitchell, JaredGenderMaleSole ProprietorYesEnumeration Date2/9/2026Last Updated2/9/2026Contact InformationPractice LocationPractice Address4019 N Bold Stripe Ave, Meridian, ID 83646-4060Phone(209) 992-9998FaxUnlisted FaxMailing LocationMailing Address4019 N Bold Stripe Ave, Meridian, ID 83646-4060PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense7671498Idaho