| NPI | 1508191255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LESKE Owner 952-562-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3031) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 3891) |
| 225100000X Physical Therapist (Licence: MN 6346) | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2010-04-26 |