Organization
IGNITE WELLNESS CENTER PLLC
Active
Other names
Ignite Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR PRATER DC (OWNER)
(208) 469-3929
Entity
Organization
Contact information
Practice address
101 W MULLAN AVE, POST FALLS, ID 83854-9217
(208) 469-3929
Mailing address
101 W MULLAN AVE, POST FALLS, ID 83854-9217
(208) 469-3929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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