Provider Demographics
NPI:1184195265
Name:MUSCLE WORKS, PLLC
Entity Type:Organization
Organization Name:MUSCLE WORKS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-660-2480
Mailing Address - Street 1:610 N. HUBBARD STREET
Mailing Address - Street 2:SUITE #114
Mailing Address - City:COER D'ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814
Mailing Address - Country:US
Mailing Address - Phone:208-660-2480
Mailing Address - Fax:208-666-0769
Practice Address - Street 1:610 N. HUBBARD STREET
Practice Address - Street 2:SUITE #114
Practice Address - City:COER D'ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814
Practice Address - Country:US
Practice Address - Phone:208-660-2480
Practice Address - Fax:208-666-0769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty