| NPI | 1861574410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRAIG K KNOTTS Owner 208-939-3986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: ID CHIA-1073) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2013-04-03 |