| NPI | 1033513791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SEAN DEHERRERA Owner 406-652-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-3416) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2017-03-07 |