Individual provider · Type 1 NPI
Derrek Johnson, DC
Chiropractor · Nisswa, MN
NPI number
1043393838
Active
Practice location
5482 County Road 18
Nisswa, MN 56468
Fax (218) 963-3313
Mailing address
PO Box 379
Nisswa, MN 56468-0379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC4116 (MN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1043393838
Derrek Johnson, DC's National Provider Identifier is 1043393838, issued on Oct 23, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Nisswa, MN. The record was last updated on Jul 8, 2007.