Individual
DR. ALEXA NICOLE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4109 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2851
(612) 767-2800
Mailing address
4109 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2851
(612) 767-2800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6943
MN
Other
Enumeration date
01/02/2022
Last updated
01/02/2022
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