| NPI | 1821980251 |
|---|---|
| Doing Business As | BACK FORTY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J CORRIGAN Owner 208-716-5198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |