Individual
JUSTIN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5350 W OLD SHAKOPEE CIR, BLOOMINGTON, MN 55437-2769
(651) 443-2793
Mailing address
5350 W OLD SHAKOPEE CIR, BLOOMINGTON, MN 55437-2769
(651) 443-2793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR.0008404
CO
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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