Pure Life Chiropractic And Wellness Center, Ltd

NPI 1225309248 - Point of Service - 305S00000X

NPI Details
NPI 1225309248
Enumeration Date 01/23/2012
Last Updated 01/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NICHOLAS RYAN NICHOLAS
Position PRESIDENT/OWNER
Phone (320) 864-6249
Fax (320) 864-6243
Practice Location
920 10TH ST E
GLENCOE MN, 55336-2301, US
Phone (320) 864-6249
Fax (320) 864-6243
Business Location
920 10TH ST E
GLENCOE MN, 55336-2301, US
Phone (320) 864-6249
Fax (320) 864-6243
Toxanomy
Taxonomy Code 305S00000X
License State Minnesota
License Number 5603
Remove 1225309248 NPI Number
 

According to our database, Pure Life Chiropractic And Wellness Center, Ltd NPI is 1225309248, taxonomy code is 305S00000X and license number is 5603, license state is located at Minnesota. Pure Life Chiropractic And Wellness Center, Ltd physically located at 920 10th St E, Glencoe MN, 55336-2301. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1225309248 NPI number is provided on an as is basis without warranty of any kind. 1225309248 is maintained by the National Plan & Provider Enumeration System. The contents of Pure Life Chiropractic And Wellness Center, Ltd are for informational purposes only.