| NPI | 1528108883 |
|---|---|
| Former Legal Business Name | SPORTS & OCCUPATIONAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JONATHAN JAMES TAFFE Owner 952-431-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4145) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2009-11-05 |