Organization
MOBILE CHIROPRACTIC & REHAB, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE COLBERT DC (OWNER)
(952) 898-1919
Entity
Organization
Contact information
Practice address
745 CRYSTAL LAKE RD E, BURNSVILLE, MN 55306-5174
(952) 898-1919
Mailing address
745 CRYSTAL LAKE RD E, BURNSVILLE, MN 55306-5174
(952) 898-1919
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
480
MN
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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