Organization
MOTION IS LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C SUTCLIFFE DC (OWNER)
(952) 448-4222
Entity
Organization
Contact information
Practice address
424 N CHESTNUT ST, CHASKA, MN 55318-2091
(952) 448-4222
(952) 448-5393
Mailing address
424 N CHESTNUT ST, CHASKA, MN 55318-2091
(952) 448-4222
(952) 448-5393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003410
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
355G3SU
BLUE CROSS BLUE SHIELD
MN
01
—
CO4087
MEDICARE GROUP NUMBER
MN
Enumeration date
09/05/2007
Last updated
09/05/2007
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