Organization
COMPREHENSIVE REHAB CENTERS OF MN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRESTON FORTHUN DC, ATC (CHIROPRACTOR/ATHLETIC TRAINER)
(612) 823-2020
Entity
Organization
Contact information
Practice address
133 W LAKE ST, MINNEAPOLIS, MN 55408-3119
(612) 823-2020
(612) 823-1919
Mailing address
133 W LAKE ST, MINNEAPOLIS, MN 55408-3119
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
4690
MN
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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