Pivotal Family Chiropractic LLC
Chiropractor in Prior Lake, MN. Organization (NPI-2).
NPI number1013591973
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1013591973
- Entity type
- Organization (NPI-2)
- Legal business name
- Pivotal Family Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- May 7, 2021
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
16731 Highway 13 S Ste 107aPrior Lake, MN 55372-2975
Phone 320-582-0582
Mailing address
16731 Highway 13 S Ste 107aPrior Lake, MN 55372-2975
Phone 320-582-0582
Authorized official
Danielle Miner
Owner
3205820582
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