Individual provider · Type 1 NPI
Breanna Young Tivy-Debauche, DC
Chiropractor · Minnetonka, MN
NPI number
1306174289
Active
Practice location
14525 Highway 7 Ste 115
Minnetonka, MN 55345-3738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5299 (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 1306174289
Breanna Young Tivy-Debauche, DC's National Provider Identifier is 1306174289, issued on Dec 3, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Minnetonka, MN. The record was last updated on Jan 11, 2018.