# DYNAMIC BALANCE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monticello Chiropractic & Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730372509
- **Authorized official:** KELLY CRIPE DC (OWNER)
- **Authorized official phone:** (763) 295-2262

## Contact information

- **Practice address:** 212 CEDAR ST, MONTICELLO, MN 55362-8598
- **Practice address phone:** (763) 295-2262
- **Practice address fax:** (763) 295-6282
- **Mailing address:** 212 CEDAR ST, PO BOX 1638, MONTICELLO, MN 55362-8598
- **Mailing address phone:** (763) 295-2262
- **Mailing address fax:** (763) 295-6282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4170 | MN | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 08/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 422L0MO | BCBS | MN |
| 01 | — | 422L1MO | BCBS | MN |
| 01 | — | 641442 | ACN | MN |