Organization
LIVE WELL ADJUSTED, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY PETERSON (OFFICE COORDINATOR)
(651) 261-5020
Entity
Organization
Contact information
Practice address
7803 AFTON RD STE 2, WOODBURY, MN 55125-1507
(651) 261-5020
Mailing address
7803 AFTON RD STE 2, WOODBURY, MN 55125-1507
(651) 261-5020
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7096887
MINNESOTA REGISTRATION
MN
Enumeration date
11/20/2020
Last updated
11/03/2022
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