# DAVIS CHIROPRACTIC HEALTH & WELLNESS, P.A

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134315450
- **Authorized official:** DR. RYAN J DAVIS D.C (OWNER/PRESIDENT)
- **Authorized official phone:** (218) 326-1804

## Contact information

- **Practice address:** 204 NW 5TH ST, GRAND RAPIDS, MN 55744-2607
- **Practice address phone:** (218) 326-1804
- **Practice address fax:** (218) 999-7660
- **Mailing address:** 204 NW 5TH ST, GRAND RAPIDS, MN 55744-2607
- **Mailing address phone:** (218) 326-1804
- **Mailing address fax:** (218) 999-7660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4109 | MN | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 03/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1851408033 | INDIVIDUAL NPI | MN |