Individual
TARA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, ATC
Contact information
Practice address
804 WESTWOOD DR, FARIBAULT, MN 55021-6652
(507) 330-6080
Mailing address
3440 FEDERAL DR, STE 120, EAGAN, MN 55122-3516
(651) 405-3990
(651) 403-5643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6576
MN
Other
Enumeration date
05/22/2015
Last updated
08/12/2021
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