Organization
ELEVATE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BOETHIN (OWNER)
(541) 480-1555
Entity
Organization
Contact information
Practice address
12545 W GOLDCREST ST, STAR, ID 83669-6513
(541) 480-1555
Mailing address
12545 W GOLDCREST ST, STAR, ID 83669-6513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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