Organization
BACK PAIN SOLUTIONS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BOWMAN (VICE PRESIDENT)
(280) 967-5608
Entity
Organization
Contact information
Practice address
827 W PRAIRIE AVE, HAYDEN, ID 83835-8459
(208) 660-9378
(208) 758-8527
Mailing address
827 W PRAIRIE AVE, HAYDEN, ID 83835-8459
(208) 660-9378
(208) 758-8527
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171W00000X
Contractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/18/2021
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