# A CENTER FOR CHIROPRACTIC AND ACUPUNTURE PA

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

## Provider details

- **NPI number:** 1184708117
- **Authorized official:** DIANE LYNN JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (651) 739-2225

## Contact information

- **Practice address:** 1803 WOODLANE DR, WOODBURY, MN 55125-2910
- **Practice address phone:** (651) 739-2225
- **Practice address fax:** (651) 739-3313
- **Mailing address:** 1803 WOODLANE DR, WOODBURY, MN 55125-2910
- **Mailing address phone:** (651) 739-2225
- **Mailing address fax:** (651) 739-3313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 3627687 | MN | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 02/09/2017