Organization
BALANCED BODY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE DEVELLE DC (PRESIDENT)
(208) 888-5951
Entity
Organization
Contact information
Practice address
450 S MERIDIAN RD STE 95, MERIDIAN, ID 83642-4537
(208) 888-5951
Mailing address
450 S MERIDIAN RD STE 95, MERIDIAN, ID 83642-4537
(208) 888-5951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1167
ID
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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