Organization
LONGEVITY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT E DAVIS D.C. (OWNER)
(208) 777-7701
Entity
Organization
Contact information
Practice address
761 N THORNTON ST, SUITE A, POST FALLS, ID 83854-6105
(208) 777-7701
Mailing address
761 N THORNTON ST, SUITE A, POST FALLS, ID 83854-6105
(208) 777-7701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1414
ID
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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