| NPI | 1639429541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLENE HARRISON Owner 208-939-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: ID CHIA-1168) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2013-02-21 |