NPI | 1295012623 |
---|---|
Doing Business As | SUMMIT FAMILY CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | RYAN SOUSLEY Chiropractic 208-771-4474 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA1447) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2016-12-19 |