Organization
HIDDEN HEALTH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHONA MACKENZIE D.C. (PRESIDENT)
(612) 925-1649
Entity
Organization
Contact information
Practice address
5451 NICOLLET AVE, MINNEAPOLIS, MN 55419-1958
(612) 925-1649
Mailing address
5451 NICOLLET AVE, MINNEAPOLIS, MN 55419-1958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3769
MN
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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