| NPI | 1043506454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HENNING President 763-957-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |