| NPI | 1316086598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JOHN SHEEHAN CEO 952-933-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MN 1673) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-09-26 |