| NPI | 1740437789 |
|---|---|
| Former Legal Business Name | ALTRA CHIROPRACTIC PA |
| Entity Type | Organization |
| Authorized Contact | STEVEN LEE KEOGH Owner 218-681-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 3608234) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2023-01-18 |