| NPI | 1518037100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEPHEN NASH Owner 952-541-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2285) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: MN 2285) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-08-14 |