| NPI | 1740281435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LYNN BURKE President 208-542-6564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: ID CHIA-792) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2012-10-29 |