Organization
COMMONWEALTH CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER CRABTREE DC (PRESIDENT)
(612) 730-2906
Entity
Organization
Contact information
Practice address
480 WASHINGTON ST STE 201, BRIGHTON, MA 02135-2655
(617) 739-0046
Mailing address
3216 IDAHO AVE S, ST LOUIS PARK, MN 55426-3414
(612) 730-2906
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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