| NPI | 1568978138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN LINCOLN KRUEGER Executive Director 701-774-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-02-09 |