| NPI | 1144841487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DONALD BINGHAM Member/Owner 208-771-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-06-13 |