| NPI | 1417017328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAD J CHANDLER Chiropractor Owner 208-461-6523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA879) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-07-16 |