# CEDAR CHIROPRACTIC SERVICES, P.A.

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

## Provider details

- **NPI number:** 1245313212
- **Authorized official:** PATRICK HERBST (OWNER)
- **Authorized official phone:** (507) 727-1700

## Contact information

- **Practice address:** 921 4TH AVE, SUITE 4, WORTHINGTON, MN 56187-2372
- **Practice address phone:** (507) 727-1700
- **Mailing address:** 51446 110TH ST, LYLE, MN 55953-6691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3486 | MN | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 01/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 040932400 | — | MN |