Organization
EAGLE CREEK CHIROPRACTIC
Active
Parent organization
EAGLE CREEK CHIROPRACTIC
Other names
Eagle Creek Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE CREEK CHIROPRACTIC
Authorized official
JENNA KANITZ (OFFICE MANAGER)
(952) 447-3395
Entity
Organization
Contact information
Practice address
14180 COMMERCE AVE NE, PRIOR LAKE, MN 55372-1483
(952) 447-3395
(952) 447-3396
Mailing address
14180 COMMERCE AVE NE, PRIOR LAKE, MN 55372-1483
(952) 447-3395
(952) 447-3396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5996
MN
225100000X
Physical Therapist
Primary
6755
MN
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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