Organization
PEAK CHIROPRACTIC AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA LUCITO D.C. (PRESIDENT/CEO)
(763) 772-5260
Entity
Organization
Contact information
Practice address
13925 52ND AVE N APT 1102, PLYMOUTH, MN 55446-1645
(763) 772-5260
Mailing address
13925 52ND AVE N APT 1102, PLYMOUTH, MN 55446-1645
(763) 772-5260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5159
MN
Other
Enumeration date
10/19/2010
Last updated
03/16/2021
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