Individual
DR. JARRYD PATRICK IMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
700 COMMERCE DR STE 260, WOODBURY, MN 55125-9243
(651) 330-9453
(651) 330-9453
Mailing address
700 COMMERCE DR STE 260, WOODBURY, MN 55125-9243
(651) 330-9453
(651) 330-9453
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7202
MN
111NR0400X
Rehabilitation Chiropractor
CH61137000
WA
Other
Enumeration date
02/09/2021
Last updated
05/20/2024
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