| NPI | 1104234236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY PEARSON Officer/Owner/Chiropractor 208-665-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1595) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA-1594) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |