| NPI | 1407303688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY WESTBROCK Owner 763-228-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MN 4943) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |