Elemental Wellness & Chiropractic

NPI #1366712077 in Weiser, Idaho

Provider Information

NPI Number
1366712077
Entity Type
Organization
Organization Name
Elemental Wellness & Chiropractic
Primary Specialty
Chiropractor
Enumeration Date
Jan 11, 2012
Last Updated
Jan 11, 2012

Practice Location

Address
343 E MAIN ST
City
Weiser
State
Idaho
ZIP Code
83672-2515
Phone
(208) 414-3333

Authorized Official

Name
DR. JUSTIN JAMES PETERSEN, DC
Title
PRESIDENT
Phone
(208) 337-8412

Specialties & Taxonomy Codes

Specialty
Chiropractor

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