Individual provider · Type 1 NPI

Jeremy Glen Marty, DC

Chiropractor · Lakeville, MN

NPI number 1104283928 Active

Practice location

18476 Kenrick Ave, Suite 201
Lakeville, MN 55044-9288

Fax (952) 236-6732

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X6189 (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.

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About NPI 1104283928

Jeremy Glen Marty, DC's National Provider Identifier is 1104283928, issued on Jan 25, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lakeville, MN. The record was last updated on Oct 24, 2016.