Individual
DR. BREANNA YOUNG TIVY-DEBAUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
14525 HIGHWAY 7 STE 115, MINNETONKA, MN 55345-3738
(952) 746-5612
Mailing address
14525 HIGHWAY 7 STE 115, MINNETONKA, MN 55345-3738
(952) 746-5612
(952) 229-4153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5299
MN
Other
Enumeration date
12/03/2009
Last updated
01/11/2018
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