Individual provider · Type 1 NPI
Teresa Irene Bastyr, DC
Chiropractor · Woodbury, MN
NPI number
1154407435
Active
Practice location
2507 Prairie Oak Trl
Woodbury, MN 55125-7609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3795 (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 1154407435
Teresa Irene Bastyr, DC's National Provider Identifier is 1154407435, issued on Oct 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Woodbury, MN. The record was last updated on Apr 18, 2008.