Individual
JOY WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
15805 47TH AVE N, PLYMOUTH, MN 55446-2152
(763) 746-6617
Mailing address
15805 47TH AVE N, PLYMOUTH, MN 55446-2152
(763) 746-6617
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6304
MN
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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