Individual
TOMOMI IKAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
131 4TH ST. E., SUITE 310, KETCHUM, ID 83340
(208) 726-6010
Mailing address
131 4TH ST. E., SUITE 310, KETCHUM, ID 83340
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1677
ID
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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