Organization
EMANATA CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE TITUS D.C. (OWNER)
(612) 354-3133
Entity
Organization
Contact information
Practice address
3821 42ND AVE S, MINNEAPOLIS, MN 55406-3503
(612) 354-3133
Mailing address
3821 42ND AVE S, MINNEAPOLIS, MN 55406-3503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5234
MN
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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