Organization
SPINAL DRS INC.
Active
Other names
Spinal Dynamics Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE MATTHEW RICKS D.C. (PRESIDENT)
(208) 841-3564
Entity
Organization
Contact information
Practice address
3715 E OVERLAND RD, UNIT 105, MERIDIAN, ID 83642-8301
(208) 888-0055
(208) 888-5062
Mailing address
3715 E OVERLAND RD, UNIT 105, MERIDIAN, ID 83642-8301
(208) 888-0055
(208) 888-5062
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIA 968
ID
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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