Organization · Type 2 NPI

Rena A. Widboom, PLLC

Chiropractor · Plymouth, MN

NPI number 1336587864 Active

Practice location

13605 27th Ave N
Plymouth, MN 55441-3616

Call (763) 559-5326 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5145 (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 1336587864

Rena A. Widboom, PLLC's National Provider Identifier is 1336587864, issued on Jun 6, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Plymouth, MN. The record was last updated on Jun 6, 2013.