| NPI | 1306368626 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHRISTOPHER ANTHONY ZUCCATO Doctor/Owner 208-585-3657  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1708)  | 
| Enumeration Date | 2017-07-07 | 
| Last Update Date | 2022-07-21 |