| NPI | 1881902591 |
|---|---|
| Doing Business As | EAGAN SPORTS CHIROPRACTIC & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM M. LEIS-KEELING Chiropractor/Owner 612-834-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MN 4498) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |