Organization
TOM WEST
Active
Other names
Ketchum Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JAY WEST D.C. (OWNER)
(208) 726-4555
Entity
Organization
Contact information
Practice address
128 SADDLE ROAD, SUITE 100, KETCHUM, ID 83340
(208) 726-4555
(208) 726-4515
Mailing address
PO BOX 3933, KETCHUM, ID 83340-3933
(208) 726-4555
(208) 726-4515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA 423
ID
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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