Organization
MOE CHIRO TRES PLLC
Active
Other names
Fit Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE ANN UPMANN DC (OWNER)
(763) 710-8888
Entity
Organization
Contact information
Practice address
1835 GATEWAY DR STE 104, COON RAPIDS, MN 55448-4513
(763) 710-8888
Mailing address
1835 GATEWAY DR STE 104, COON RAPIDS, MN 55448-4513
(763) 710-8888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326511379
—
MN
Enumeration date
10/08/2019
Last updated
04/12/2022
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