Eagle Creek Chiropractic

NPI 1073847554 - Physical Therapist - 225100000X

NPI Details
NPI 1073847554
Enumeration Date 09/30/2009
Last Updated 09/30/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JENNA JENNA
Position OFFICE MANAGER
Phone (952) 447-3395
Fax (952) 447-3396
Practice Location
14180 COMMERCE AVE NE
PRIOR LAKE MN, 55372-1483, US
Phone (952) 447-3395
Fax (952) 447-3396
Business Location
14180 COMMERCE AVE NE
PRIOR LAKE MN, 55372-1483, US
Phone (952) 447-3395
Fax (952) 447-3396
Toxanomy
Taxonomy Code 225100000X
License State Minnesota
License Number 5996
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According to our database, Eagle Creek Chiropractic NPI is 1073847554, taxonomy code is 225100000X and license number is 5996, license state is located at Minnesota. Eagle Creek Chiropractic physically located at 14180 Commerce Ave Ne, Prior Lake MN, 55372-1483. NPI Number 1033115704 has the healthcare provider type.

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1073847554 NPI number is provided on an as is basis without warranty of any kind. 1073847554 is maintained by the National Plan & Provider Enumeration System. The contents of Eagle Creek Chiropractic are for informational purposes only.