Organization
PREHAB HEALTH AND PERFORMANCE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN BAKER DC (OWNER)
(208) 906-1564
Entity
Organization
Contact information
Practice address
14 W FRANKLIN RD, MERIDIAN, ID 83642-2913
(208) 906-1564
(208) 906-1564
Mailing address
14 W FRANKLIN RD, MERIDIAN, ID 83642-2913
(208) 906-1564
(208) 906-1564
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1388
ID
Other
Enumeration date
11/04/2014
Last updated
12/30/2014
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