| NPI | 1588600043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PAUL MASSOGLIA President 651-334-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2014-10-24 |