| NPI | 1265878136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DENNIS RAE Doctor Of Chiropractic/ Owner 208-345-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA1332) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |