| NPI | 1205933306 |
|---|---|
| Doing Business As | BACK IN SHAPE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | DIANNE L. COMO Owner/President/Chiropractor 763-595-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 3191) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-08-19 |