Organization
TIERI CHIROPRACTIC, LLC
Active
Other names
Total Spine Health and Injury Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT EDWIN TIERI D.C. (OWNER)
(763) 913-9410
Entity
Organization
Contact information
Practice address
13324 BASS LAKE RD, MAPLE GROVE, MN 55311-4540
(763) 568-7869
(763) 568-7872
Mailing address
13324 BASS LAKE RD, MAPLE GROVE, MN 55311-4540
(763) 568-7869
(763) 568-7872
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5351
MN
Other
Enumeration date
10/22/2010
Last updated
02/19/2013
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