| NPI | 1992988216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEE ELLIS Doctor Of Chiropractic/ Owner 952-835-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4989) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2017-10-30 |