Individual provider · Type 1 NPI
Jason Michael Fredericks, DC
Chiropractor · Bloomington, MN
Practice location
8200 Humboldt Ave S Ste 204
Bloomington, MN 55431-1432
Fax (952) 884-9180
Mailing address
8200 Humboldt Ave S, Ste 204
Bloomington, MN 55431-1432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3651 (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.
3 other providers at this address
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About NPI 1669689295
Jason Michael Fredericks, DC's National Provider Identifier is 1669689295, issued on May 16, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomington, MN. The record was last updated on Mar 6, 2017.