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Organization
BRACHT CHIROPRACTIC, P.A.
Active
Organization
BRACHT CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA KAY BRACHT DC (DOCTOR OF CHIROPRACTIC)
(651) 464-3643
Entity
Organization
Contact information
Practice address
15226 W FREEWAY DR NE, FOREST LAKE, MN 55025-9433
(651) 464-3643
(651) 464-2022
Mailing address
15226 W FREEWAY DR NE, FOREST LAKE, MN 55025-9433
(651) 464-3643
(651) 464-2022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3365
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265726100
—
MN
01
—
5C778BR
BLUE CROSS BLUE SHEILD
MN
Enumeration date
03/02/2007
Last updated
09/20/2010
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