Organization
ELYSIAN CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA ANN PETERSON DC (OWNER)
(507) 591-5027
Entity
Organization
Contact information
Practice address
1305 E COLLEGE DR STE B, MARSHALL, MN 56258-2073
(507) 591-5027
Mailing address
1305 E COLLEGE DR STE B, MARSHALL, MN 56258-2073
(507) 591-5027
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6480
MN
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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