| NPI | 1841021367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM HILLYARD Owner 952-388-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2025-02-04 |