Provider Demographics
NPI:1386869444
Name:HURST INC
Entity type:Organization
Organization Name:HURST INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:S
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-678-8184
Mailing Address - Street 1:1246 OAKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BURLEY
Mailing Address - State:ID
Mailing Address - Zip Code:83318-1840
Mailing Address - Country:US
Mailing Address - Phone:208-678-8184
Mailing Address - Fax:208-678-8164
Practice Address - Street 1:1246 OAKLEY AVE
Practice Address - Street 2:
Practice Address - City:BURLEY
Practice Address - State:ID
Practice Address - Zip Code:83318-1840
Practice Address - Country:US
Practice Address - Phone:208-678-8184
Practice Address - Fax:208-678-8164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty