Provider Demographics
NPI:1205719556
Name:CANYON SPRINGS CHIROPRACTIC WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:CANYON SPRINGS CHIROPRACTIC WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:MADSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-971-2774
Mailing Address - Street 1:2167 VILLAGE PARK AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-4174
Mailing Address - Country:US
Mailing Address - Phone:208-737-1430
Mailing Address - Fax:
Practice Address - Street 1:2167 VILLAGE PARK AVE STE 100
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-4174
Practice Address - Country:US
Practice Address - Phone:208-737-1430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty