| NPI | 1003373689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL AILI MOORE Owner 952-237-8549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |