| NPI | 1447480629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA R RICKERT Owner/CEO 952-200-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: MN 5230) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-08-27 |