Full Life Chiropractic, PA

NPI #1740472844 in Meridian, Idaho

Provider Information

NPI Number
1740472844
Entity Type
Organization
Organization Name
Full Life Chiropractic, PA
Primary Specialty
Chiropractor
Enumeration Date
Aug 13, 2007
Last Updated
Dec 20, 2010

Practice Location

Address
2300 W EVEREST LN
Address 2
SUITE #175
State
Idaho
ZIP Code
83646-5925
Phone
(208) 895-0858

Authorized Official

Name
DR. JONATHAN ERIC MAIN, DC
Title
OWNER / PRESIDENT
Phone
(208) 895-0858

Specialties & Taxonomy Codes

Specialty
Chiropractor

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