| NPI | 1881466902 |
|---|---|
| Doing Business As | IGNITE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | TREVOR PRATER Owner 208-469-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |