| NPI | 1942407333 |
|---|---|
| Former Legal Business Name | BRESHEARS CHIROPRACTIC LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | REBECCA A BRESHEARS Owner 208-866-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID Chia428) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2016-04-27 |