Hayden Lake Chiropractic PA

NPI #1417370511 in Hayden, Idaho

Provider Information

NPI Number
1417370511
Entity Type
Organization
Organization Name
Hayden Lake Chiropractic PA
Primary Specialty
Chiropractor
Enumeration Date
Jan 24, 2014
Last Updated
Jan 24, 2014

Practice Location

Address
8235 N CORNERSTONE DR
City
Hayden
State
Idaho
ZIP Code
83835-8683
Phone
(208) 762-0222

Authorized Official

Name
DR. KEVIN ROBERT MARSH, D.C.
Title
PRESIDENT
Phone
(208) 762-0222

Specialties & Taxonomy Codes

Specialty
Chiropractor

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