# STARTINGBLOCK CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1346886298
- **Authorized official:** DR. BRITTNEY ANNE REISNOUR DC (OWNER)
- **Authorized official phone:** (763) 280-7720

## Contact information

- **Practice address:** 3200 MAIN ST NW STE 330, COON RAPIDS, MN 55448-8407
- **Practice address phone:** (763) 280-7720
- **Practice address fax:** (763) 280-7727
- **Mailing address:** 3200 MAIN ST NW STE 330, COON RAPIDS, MN 55448-8407
- **Mailing address phone:** (763) 280-7720
- **Mailing address fax:** (763) 280-7727

## Taxonomy

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

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 04/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1144741620 | — | MN |