| NPI | 1407079312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE BRADLEY OTTER President 612-827-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: MN 1763) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-09-27 |