| NPI | 1992479786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA LYNN YETTER Owner 612-396-4916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |