Individual provider · Type 1 NPI

Cullen Fahey

Chiropractor · Prior Lake, MN

NPI number 1457865313 Active

Practice location

16197 Main Ave SE
Prior Lake, MN 55372-1704

Mailing address

300 S Jackson St, Ste 105
Denver, CO 80209-3131

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XCHR.0007951 (CO)
Chiropractor Primary 111N00000X6403 (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 1457865313

Cullen Fahey's National Provider Identifier is 1457865313, issued on Nov 29, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Prior Lake, MN. The record was last updated on Mar 16, 2020.