Individual
RORY FAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
24000 HIGHWAY 7 STE 215, EXCELSIOR, MN 55331-2925
(952) 474-2395
Mailing address
5812 LOGAN AVE S, MINNEAPOLIS, MN 55419-2045
(612) 922-9505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4910
MN
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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