Organization
OPTIMUM CHIROPRACTIC & PERFORMANCE REHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS J REYNOLDS DC (OWNER)
(952) 492-9043
Entity
Organization
Contact information
Practice address
14051 BURNHAVEN DR STE 104, BURNSVILLE, MN 55337-4400
(952) 492-9043
Mailing address
14051 BURNHAVEN DR STE 104, BURNSVILLE, MN 55337-4400
(952) 492-9043
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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