Individual provider · Type 1 NPI
John Charles Redebaugh, DC
Chiropractor · Nisswa, MN
NPI number
1164512646
Active
Practice location
5314 Nisswa Ave
Nisswa, MN 56474
Fax (219) 963-0899
Mailing address
PO Box 689
Nisswa, MN 56468-0689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1512 (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.
Other chiropractor providers in Nisswa
About NPI 1164512646
John Charles Redebaugh, DC's National Provider Identifier is 1164512646, issued on Oct 13, 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.