Organization
ELEVATION CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON L COUCHMAN D.C. (DOCTOR OF CHIROPRACTIC/ OWNER)
(208) 287-9393
Entity
Organization
Contact information
Practice address
10451 W GARVERDALE CT STE 204, BOISE, ID 83704-5475
(208) 287-9393
(208) 287-9394
Mailing address
10451 W GARVERDALE CT STE 204, BOISE, ID 83704-5475
(208) 287-9393
(208) 287-9394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1451
ID
Other
Enumeration date
03/29/2011
Last updated
05/15/2014
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