Organization · Type 2 NPI

Traditionally Healthy

Chiropractor · Minneapolis, MN

NPI number 1861819989 Active

Practice location

1211 Jackson St NE, Suite 121
Minneapolis, MN 55413

Mailing address

9744 Woodridge Dr
Eden Prairie, MN 55347-4249

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3928 (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 1861819989

Traditionally Healthy's National Provider Identifier is 1861819989, issued on Mar 26, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 26, 2014.