Elite Spinal Performance Chiropractic PA
NPI #1548875495 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1548875495
- Entity Type
- Organization
- Organization Name
- Elite Spinal Performance Chiropractic PA
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 8, 2020
- Last Updated
- Sep 8, 2020
Practice Location
- Address
- 661 S WOODRUFF AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-5596
- Phone
- (208) 557-9616
Authorized Official
- Name
- DR. DEREK C CALAWAY, DC
- Title
- OWNER
- Phone
- (208) 557-9616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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