Individual
TAYLOR LAVALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
515 1ST AVE NE, MINNEAPOLIS, MN 55413-2209
(218) 770-9333
Mailing address
950 ALYSHEBA RD APT 304, SHAKOPEE, MN 55379-5010
(218) 770-9333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6921
MN
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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