Thor Bostrom, DC

NPI 1609479419 · on the registry since 2020 · sole proprietor

Practice

Address: 810 E Sherman Ave
Coeur D Alene, ID 83814
Phone: (208) 665-2293
Fax: (208) 908-6038
Organisation at this address: Hallowitz Holistic Healing, P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: MT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho