# MOE CHIRO TRES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fit Family Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063054302
- **Authorized official:** DR. KATHERINE ANN UPMANN DC (OWNER)
- **Authorized official phone:** (763) 710-8888

## Contact information

- **Practice address:** 1835 GATEWAY DR STE 104, COON RAPIDS, MN 55448-4513
- **Practice address phone:** (763) 710-8888
- **Mailing address:** 1835 GATEWAY DR STE 104, COON RAPIDS, MN 55448-4513
- **Mailing address phone:** (763) 710-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2019
- **Last updated:** 04/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1326511379 | — | MN |