| NPI | 1467897405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN BALLARD WEED President 208-266-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA-868) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2023-06-01 |