Chiropractic Rehabilitation Center Llc

NPI 1093864050 - Chiropractor - 111N00000X

NPI Details
NPI 1093864050
Enumeration Date 01/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JESSE JEROD JESSE
Position OWNER CEO
Phone (651) 734-1123
Fax (651) 734-1109
Practice Location
9900 VALLEY CREEK RD #145
WOODBURY MN, 55125, US
Phone (651) 734-1123
Fax (651) 734-1109
Business Location
9900 VALLEY CREEK RD #145
WOODBURY MN, 55125, US
Phone (651) 734-1123
Fax (651) 734-1109
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 4269
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According to our database, Chiropractic Rehabilitation Center Llc NPI is 1093864050, taxonomy code is 111N00000X and license number is 4269, license state is located at Minnesota. Chiropractic Rehabilitation Center Llc physically located at 9900 Valley Creek Rd #145, Woodbury MN, 55125. NPI Number 1033115704 has the healthcare provider type.

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1093864050 NPI number is provided on an as is basis without warranty of any kind. 1093864050 is maintained by the National Plan & Provider Enumeration System. The contents of Chiropractic Rehabilitation Center Llc are for informational purposes only.