| NPI | 1558728592 |
|---|---|
| Doing Business As | SPINAL DYNAMICS CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JAMIE MATTHEW RICKS President 208-841-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: ID Chia 968) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |