NPI | 1457407116 |
---|---|
Doing Business As | IDEAL HEALTH, A SPORTS & FAMILY CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | SANDRA LYNN REBROVICH President 763-441-0999 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 478) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-08-22 |