Individual
SADIE MARIE THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2115 COUNTY ROAD D E STE B, SAINT PAUL, MN 55109-5353
(651) 955-1083
Mailing address
3633 WINDTREE DR, EAGAN, MN 55123-1319
(651) 955-1083
(651) 955-1083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034776
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010162929
REGENCE BS OF IDAHO
WA
01
—
0222349
WASHINGTON L&I
WA
01
—
7310RA
ASURIS NW (BS OF WA)
WA
01
—
8944683
CRIME VICTIMS OF WA
WA
Enumeration date
06/20/2007
Last updated
03/29/2022
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