NPI | 1881795961 |
---|---|
Former Legal Business Name | BODY BRAIN CHIROPRACTIC P.A. |
Entity Type | Organization |
Authorized Contact | CHRISTINE A H INGBRETSON President 612-418-3587 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4695) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2024-03-01 |