| NPI | 1639402530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA LEIGH HULL Co Owner 208-964-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1353) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA-1360) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2024-08-12 |