| NPI | 1336642420 |
|---|---|
| Doing Business As | LIFE & HEALTH CHIROPRACTIC CENTRE' |
| Entity Type | Organization |
| Authorized Contact | NATHANIEL ELI OTTO President/Owner 208-313-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-05-25 |