NPI | 1003157769 |
---|---|
Doing Business As | KINETIC SPINE & SPORT |
Entity Type | Organization |
Authorized Contact | LUKE ALAN WEBER President/Owner 507-345-7836 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5591) |
Enumeration Date | 2013-03-06 |
Last Update Date | 2021-08-17 |