| NPI | 1124351770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T GUNNELL Owner/ Manager 208-249-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1149) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |