Individual provider · Type 1 NPI
Crystal Micoley, DC
Chiropractor · Plymouth, MN
NPI number
1710651690
Active
Practice location
10800 Old County Road 15
Plymouth, MN 55441-6152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6623 (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 1710651690
Crystal Micoley, DC's National Provider Identifier is 1710651690, issued on Aug 4, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Plymouth, MN. The record was last updated on Aug 4, 2021.