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Organization

ACQUA CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN REILLY D.C. (DOCTOR OF CHIROPRACTIC)
(952) 913-8687
Entity
Organization

Contact information

Practice address
4833 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2214
(952) 913-8687
(952) 922-2335
Mailing address
4833 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2214
(952) 913-8687
(952) 922-2335

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5398
MN

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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