| NPI | 1679037972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA ALIZADEH Owner 952-229-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-02-01 |