# SUGAR CREEK CHIROPRACTIC PA

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

## Provider details

- **NPI number:** 1316586829
- **Authorized official:** DR. CARRIE MARIE ROSS THOMPSON DC (OWNER)
- **Authorized official phone:** (952) 448-2722

## Contact information

- **Practice address:** 112 W 2ND ST STE A, CHASKA, MN 55318-2636
- **Practice address phone:** (952) 448-2722
- **Practice address fax:** (952) 448-2768
- **Mailing address:** 112 W 2ND ST STE A, CHASKA, MN 55318-2636
- **Mailing address phone:** (952) 448-2722
- **Mailing address fax:** (952) 448-2768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2019
- **Last updated:** 12/31/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1134211071 | — | MN |