Organization
PREMIER CHIROPRACTIC LLC
Active
Other names
Eyota Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WESTPHAL (MANAGING MEMBER)
(608) 797-8138
Entity
Organization
Contact information
Practice address
123 LAFAYETTE AVE SW, EYOTA, MN 55934-6507
(608) 797-8138
Mailing address
PO BOX 57, EYOTA, MN 55934-0057
(507) 585-0528
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
09/15/2019
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