| NPI | 1497413348 |
|---|---|
| Doing Business As | BALANCED MOVEMENT CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN DAVID JESPERSON President 208-466-4600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2022-03-05 |