| NPI | 1508018490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON FORTHUN Chiropractor/Athletic Trainer 612-823-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: MN 4690) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |