| NPI | 1225493414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LEE POTTS Owner/President/Doctor 406-363-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 0381636348) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |