| NPI | 1437273455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEN LEIGH CHRISTENSEN Billing Manager 208-321-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA590) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |