Organization · Type 2 NPI
Illuminnate Family Chiropractic, Inc.
Chiropractor · Lake Elmo, MN
NPI number
1174730048
Active
Practice location
8931 Highway 5, Suite A
Lake Elmo, MN 55042-8900
Fax (651) 204-3031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4731 (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
Other chiropractor providers in Lake Elmo
About NPI 1174730048
Illuminnate Family Chiropractic, Inc.'s National Provider Identifier is 1174730048, issued on May 17, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Elmo, MN. The record was last updated on Jul 17, 2007.