Organization
BALANCED LIFE CHIROPRACTIC
Active
Other names
Evergreen Wellness Studios
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER DEAN HENDERSON I D.C. (OWNER)
(208) 293-7150
Entity
Organization
Contact information
Practice address
1640 W CHERRY LN, #130, MERIDIAN, ID 83642-8187
(208) 895-8595
Mailing address
1640 W CHERRY LN, #130, MERIDIAN, ID 83642-8187
(208) 895-8595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1288
ID
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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