| NPI | 1093085623 |
|---|---|
| Doing Business As | YELLOWSTONE CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | RYAN PHILLIP LAQUA President 406-433-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 986) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |