| NPI | 1629476726 |
|---|---|
| Doing Business As | EVERGREEN WELLNESS STUDIOS |
| Entity Type | Organization |
| Authorized Contact | SPENCER DEAN HENDERSON Owner 208-293-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1288) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |