Organization
PARK PERFORMANCE CHIROPRACTIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY JOHN NELSON D.C., CCSP (OWNER)
(763) 670-2990
Entity
Organization
Contact information
Practice address
716 1ST ST E, PARK RAPIDS, MN 56470-1707
(182) 366-2174
(218) 366-2175
Mailing address
716 1ST ST E, PARK RAPIDS, MN 56470-1707
(182) 366-2174
(218) 366-2175
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5635
MN
Other
Enumeration date
09/10/2014
Last updated
07/20/2023
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