NPI | 1487745477 |
---|---|
Former Legal Business Name | PERFORMANCE CHIROPRACTIC AND SOFT TISSUE CLINIC |
Entity Type | Organization |
Authorized Contact | ADAM ZACHMAN Owner 218-326-0604 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4472) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2013-10-31 |