| NPI | 1164673497 |
|---|---|
| Other Name | OPTIMAL LIFE CHIROPRACTIC, LLC |
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN BURTON President 406-563-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MT CHI-CHI-LIC-2372) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2016-01-04 |