Organization · NPI-2

Select Chiropractic INC.

Clinic/Center · Milaca, MN

NPI number1114650058
StatusActive
Last updated in NPPESJul 7, 2022

Details

NPI
1114650058
Entity type
Organization (NPI-2)
Legal business name
Select Chiropractic INC.
Organization subpart
No
Enumeration date
Jul 7, 2022
Certification date
Jul 7, 2022
Last updated
Jul 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

190 Central Ave S
Milaca, MN 56353-1123

Phone 224-487-4368

Mailing address

14884 Kirkwood Dr
Baxter, MN 56425-8451

Phone 218-824-5027

Authorized official

Amanda Kronen
Executive Assistant
2188245027

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