| NPI | 1790932390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA MARIE KENSINGER Vice President, Secretary, Treasure 952-808-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5077) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 832) |
| 111N00000X Chiropractor (Licence: MN 5104) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |