| NPI | 1114517380 |
|---|---|
| Doing Business As | FORWARD SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY KLESK Owner/Chiropractor 612-599-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-07-19 |