| NPI | 1225334493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE SCOTT WARREN President 952-921-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: MN 5495) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |