Organization
ACTIVE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI KRISTINE GOODSELL D.C. (PRESIDENT)
(763) 553-0387
Entity
Organization
Contact information
Practice address
3390 ANNAPOLIS LN N STE C, PLYMOUTH, MN 55447-5379
(763) 553-0387
Mailing address
3390 ANNAPOLIS LN N STE C, PLYMOUTH, MN 55447-5379
(763) 553-0387
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3850
MN
Other
Enumeration date
08/05/2007
Last updated
01/11/2008
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