Individual provider · Type 1 NPI
Kristen Moddrell, DC
Chiropractor · St. Paul, MN
NPI number
1659606176
Active
Practice location
876 Selby Ave
St. Paul, MN 55104-6529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5315 (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.
2 other providers at this address
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About NPI 1659606176
Kristen Moddrell, DC's National Provider Identifier is 1659606176, issued on Oct 16, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2021.