Organization
LIVING ROOTS WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ANNE JACOBSON DC (OWNER/CHIROPRACTOR)
(208) 930-4848
Entity
Organization
Contact information
Practice address
133 E POPLAR AVE, COEUR D ALENE, ID 83814-3435
(208) 930-4848
(844) 440-2390
Mailing address
133 E POPLAR AVE, COEUR D ALENE, ID 83814-3435
(208) 930-4848
(844) 440-2390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/26/2022
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