Organization · Type 2 NPI

Jo G Theisen Dc, PA

Chiropractor · Brooklyn Park, MN

NPI number 1952484602 Active

Practice location

8465 W Broadway Ave
Brooklyn Park, MN 55445-2266

Fax (763) 424-3444

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	2599 (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

Other chiropractor providers in Brooklyn Park

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NPI record

NPI: 1952484602
Entity type: Organization (Type 2)
Issued: Oct 23, 2006
Last updated: Jan 12, 2022
Status: Active

Other names

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Family Chiropractic Health Service · doing business as
Family Chiropractic Health Service · doing business as

Authorized official

Scott R Theisen
Clinic Director
(763) 424-7750

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952484602

Jo G Theisen Dc, PA's National Provider Identifier is 1952484602, issued on Oct 23, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brooklyn Park, MN. The record was last updated on Jan 12, 2022.