Organization
LAW OF LIFE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOE MICHAEL TANKERSLEY D.C. (OWNER)
(612) 618-0449
Entity
Organization
Contact information
Practice address
12100 SINGLETREE LN STE 129, EDEN PRAIRIE, MN 55344-7937
(612) 618-0449
Mailing address
12100 SINGLETREE LN STE 129, EDEN PRAIRIE, MN 55344-7937
(612) 618-0449
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5472
MN
Other
Enumeration date
04/07/2011
Last updated
06/27/2011
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