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Organization
ST RAPHAELS CHIROPRACTIC CARE CENTER PLLC
Active
Organization
ST RAPHAELS CHIROPRACTIC CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIP A SMITH PT, DC (OWNER)
(320) 362-7900
Entity
Organization
Contact information
Practice address
120 CENTRAL AVE N STE C, MILACA, MN 56353-1571
(320) 362-7900
Mailing address
120 CENTRAL AVE N STE C, MILACA, MN 56353-1571
(320) 362-7900
(320) 362-7904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306173950
—
MN
Enumeration date
04/20/2020
Last updated
06/02/2025
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