Organization
ELEVATED CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY CHANT WILLIAMS DC (OWNER)
(208) 356-8818
Entity
Organization
Contact information
Practice address
1134 BOND AVE, REXBURG, ID 83440-3582
(208) 356-8818
(208) 356-0458
Mailing address
1134 BOND AVE, REXBURG, ID 83440-3582
(208) 356-8818
(208) 356-0458
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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