| NPI | 1457431827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E AAGESEN-REZNECHECK President 612-920-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |