Individual provider · Type 1 NPI
Molly Lane Bird, DC
Chiropractor · St. Paul, MN
NPI number
1487089165
Active
Practice location
1053 Grand Ave Ste 114
St. Paul, MN 55105-3074
Fax (651) 348-6367
Mailing address
12770 Germane Ave, Apt 303
Apple Valley, MN 55124-6794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5839 (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 1487089165
Molly Lane Bird, DC's National Provider Identifier is 1487089165, issued on Sep 12, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Paul, MN. The record was last updated on Mar 26, 2014.