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 |