Organization
LIFESPAN CHIROPRACTIC PA
Active
Organization
LIFESPAN CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATY JEAN HEILMAN D.C. (PRESIDENT)
(952) 432-4222
Entity
Organization
Contact information
Practice address
7493 147TH ST W, SUITE 203, APPLE VALLEY, MN 55124-4505
(952) 432-4222
(952) 432-4225
Mailing address
7493 147TH ST W, SUITE 203, APPLE VALLEY, MN 55124-4505
(952) 432-4222
(952) 432-4225
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3437
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7815204-00
—
MN
Enumeration date
09/07/2011
Last updated
09/07/2011
Update your record
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