| NPI | 1114127149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN ANACKER Chiropractor/President 208-287-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-997) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-01-09 |