NPI 1457138539
Elevate Chiropractic
Practice location
- Address
- 12545 W Goldcrest St, Star, ID 83669-6513
- Phone
- (541) 480-1555
Authorised official
- Name
- Jeremy Boethin
- Title
- Owner
- Phone
- (541) 480-1555
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1457138539
- Entity type
- Organization
- NPI issued
- 12 Sep 2023
- Record last updated
- 12 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.