Advanced Soft Tissue Recovery Center

NPI #1952615502 in Boise, Idaho

Provider Information

NPI Number: 1952615502
Entity Type: Organization
Organization Name: Advanced Soft Tissue Recovery Center
Primary Specialty: Chiropractor
Enumeration Date: Aug 5, 2010
Last Updated: Aug 5, 2010

Practice Location

Address: 4700 N CLOVERDALE RD
Address 2: SUITE 103
City: Boise
State: Idaho
ZIP Code: 83713-1081
Phone: (208) 658-8326

Authorized Official

Name: DR. BLAKE L HOWARD, DC
Title: MEMBER
Phone: (208) 658-8326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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