Organization · NPI-2
1 Body Health And Fitness PA
Chiropractor · Red Lake Falls, MN
NPI number1942460811
StatusActive
Last updated in NPPESDec 16, 2016
Details
- NPI
- 1942460811
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Body Health And Fitness PA
- Organization subpart
- No
- Enumeration date
- Jun 13, 2008
- Last updated
- Dec 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3008 | MN | Yes |
Practice location
105 International DrSuite 121
Red Lake Falls, MN 56750-4665
Phone 218-253-2111
Mailing address
105 International DrSuite 121
Red Lake Falls, MN 56750-4665
Phone 218-253-2111
Authorized official
Kevin Nelson
Ceo
2182532111
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