Health Spark, LLC

NPI #1205618840 in Meridian, Idaho

Provider Information

NPI Number: 1205618840
Entity Type: Organization
Organization Name: Health Spark, LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 18, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 4771 N SUMMIT WAY STE 110
City: Meridian
State: Idaho
ZIP Code: 83646-5017
Phone: (208) 994-4747

Authorized Official

Name: RUSSELL ALLEN, DC
Title: OWNER
Phone: (208) 994-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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