# GLENCOE FAMILY CHIROPRACTIC, P.A.

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

## Provider details

- **NPI number:** 1134388549
- **Authorized official:** DR. JENNIFER JOHNSON SCHMALZ DC (PRESIDENT)
- **Authorized official phone:** (320) 420-9047

## Contact information

- **Practice address:** 627 12TH ST E, GLENCOE, MN 55336-2133
- **Practice address phone:** (320) 864-8000
- **Mailing address:** 1706 RIVERSIDE DR, SHAKOPEE, MN 55379-8515
- **Mailing address phone:** (320) 420-9047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 5082 | MN | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008