| NPI | 1316143936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JAMES SANDELL President 763-315-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MN 4196) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |