GRAND TETON CHIROPRACTIC, P.C.

IDAHO FALLS, ID
NPI1679519193
Entity TypeOrganization
Authorized ContactJAMES C. GARDNER
President
208-529-1919
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA 904)
Enumeration Date2006-06-22
Last Update Date2014-02-10
Business Address
GRAND TETON CHIROPRACTIC, P.C.
1220 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-529-1919
Mailing Address
GRAND TETON CHIROPRACTIC, P.C.
4317 AMBER LN
AMMON, ID 83406-4640
Phone number: 208-542-9567