| NPI | 1164595955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN NOKKEN Owner President 218-233-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3240) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 578) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-12-18 |