Individual
PRESTON ELLARD FORTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC ATC
Contact information
Practice address
133 WEST LAKE STREET, MINNEAPOLIS, MN 55408
(612) 823-2020
(612) 823-1919
Mailing address
255 2ND AVE NW, MILACA, MN 56353
(952) 270-2150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4690
MN
2255A2300X
Athletic Trainer
Primary
—
MN
Other
Enumeration date
07/05/2006
Last updated
09/11/2025
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