Organization
BACK IN MOTION CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY DICKINSON D.C. (OWNER)
(763) 504-0395
Entity
Organization
Contact information
Practice address
9664 63RD AVE N, MAPLE GROVE, MN 55369-6200
(763) 504-0395
(763) 504-0397
Mailing address
9664 63RD AVE N, MAPLE GROVE, MN 55369-6200
(763) 504-0395
(763) 504-0397
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3572
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096225200
—
MN
Enumeration date
01/22/2007
Last updated
11/23/2015
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