| NPI | 1346312147 |
|---|---|
| Doing Business As | BACK IN SHAPE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R. LARSON President 763-595-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3816) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-08-28 |