| NPI | 1144783150 |
|---|---|
| Doing Business As | ACTIVE FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN PERRY Chiropractor 208-968-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |