Organization
ROTH CHIROPRACTIC PLLC
Active
Other names
Roth Chiropractic SC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ARTHUR TACYSHYN-ROTH D.C. (DR./OWNER)
(612) 916-3506
Entity
Organization
Contact information
Practice address
315 SE MAIN ST APT 412, MINNEAPOLIS, MN 55414-4222
(612) 916-3506
Mailing address
315 SE MAIN ST APT 412, MINNEAPOLIS, MN 55414-4222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WI2869
WI
Other
Enumeration date
12/17/2010
Last updated
03/07/2018
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