Organization
EAGLE SPORT & FAMILY CHIROPRACTIC PLLC
Active
Organization
EAGLE SPORT & FAMILY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRAIG K KNOTTS D. C. (OWNER)
(208) 939-3986
Entity
Organization
Contact information
Practice address
547 S FITNESS PL, SUITE 110, EAGLE, ID 83616-6552
(208) 939-3986
(208) 319-2700
Mailing address
547 S FITNESS PL, SUITE 110, EAGLE, ID 83616-6552
(208) 939-3986
(208) 319-2700
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIA-1073
ID
Other
Enumeration date
10/20/2006
Last updated
04/03/2013
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