| NPI | 1033002571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN IRWIN Owner 208-457-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-09-26 |