| NPI | 1104847748 |
|---|---|
| Doing Business As | LIFESTYLE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TIM JOSEPH COINER President 208-736-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA658) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-12-19 |