| NPI | 1245427202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JENSEN President 208-426-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: ID CHIA-950) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |