Living Roots Wellness Center Pllc
NPI #1235866575 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1235866575
- Entity Type
- Organization
- Organization Name
- Living Roots Wellness Center Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 5, 2022
- Last Updated
- Aug 26, 2022
Practice Location
- Address
- 133 E POPLAR AVE
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-3435
- Phone
- (208) 930-4848
Authorized Official
- Name
- DR. MELISSA ANNE JACOBSON, DC
- Title
- OWNER/CHIROPRACTOR
- Phone
- (208) 930-4848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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