Organization
BRIDGEWATER CHIROPRACTIC AND SOFT TISSUE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEDEDIAH BADDERS D.C. (OWNER)
(208) 262-8166
Entity
Organization
Contact information
Practice address
640 N THORNTON ST, POST FALLS, ID 83854
(208) 262-8166
Mailing address
640 N THORNTON ST, POST FALLS, ID 83854
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1500
ID
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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