| NPI | 1356358204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON D GAERTNER-EWING President 208-467-5994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: ID CHIA829) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-06-28 |