Individual provider · Type 1 NPI
Brian Mark Devitt, DC
Chiropractor · Prior Lake, MN
NPI number
1306074349
Active
Practice location
14033 Commerce Ave NE Ste 300-401
Prior Lake, MN 55372-1438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 3842 (MN) |
| Chiropractor Primary | 111N00000X | 3842 (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 1306074349
Brian Mark Devitt, DC's National Provider Identifier is 1306074349, issued on Jun 29, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Prior Lake, MN. The record was last updated on Mar 25, 2020.