Individual
DR. KRISTIN COSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
612 5TH ST NW, BEMIDJI, MN 56601-2915
(218) 444-8832
(218) 444-7046
Mailing address
612 5TH ST NW, BEMIDJI, MN 56601-2915
(218) 444-8832
(218) 444-7046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5880
OR
111N00000X
Chiropractor
Primary
6825
MN
111NP0017X
Pediatric Chiropractor
5880
OR
111NP0017X
Pediatric Chiropractor
6825
MN
Other
Enumeration date
01/23/2018
Last updated
04/06/2026
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