| NPI | 1750670824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON L COUCHMAN Doctor Of Chiropractic/ Owner 208-287-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1451) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2014-05-15 |