| NPI | 1134315914 |
|---|---|
| Former Legal Business Name | KATHY R BENNETT DC |
| Entity Type | Organization |
| Authorized Contact | KATHY R BENNETT Owner 208-454-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CHIA532) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |